Dr. Lori Sullivan, MD
3617 Heritage Club DR, Hilliard, OH 43026 • +1-896-555-4562
Medical Education: Accredited U.S. Medical School (Class of 1994)
What This Doctor Actually Performs: CMS Medicare Utilization & Hilliard Percentiles
NPI #1417028697 • CBSA Regional • Family Practice
Operating out of Hilliard, OH (3617 Heritage Club DR), Family Practice clinician Dr. Lori Sullivan, MD (accredited MD/DO training, 1994) maintains a mid-cohort balanced caseload (45.83th Hilliard percentile) (76.63th OH percentile; Z-score +0.03σ across 2,145 documented services) with sub-specialty concentration in 37 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1417028697 highlights 394 annual claims for 99214 (45.83th Hilliard percentile; $72–$98 self-pay corridor) plus 290 encounters under 99213 and 112 under G0439.
At 3617 Heritage Club DR (43026), Dr. Lori Sullivan, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$209.00 per new consult (4.89/5 bedside rating).
Clinical background for Dr. Sullivan (MD, NPI #1417028697) includes accredited doctoral training (1994, 32 yrs in practice) and virtual + in-office availability across OH.
Compared against Hilliard, OH Family Practice peers
2,145 annual services across 189 beneficiaries
Standard deviations from OH Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 394 | 45.83th | $72 – $98 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 290 | 40.83th | $55 – $75 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 112 | 43.83th | $82 – $113 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 84 | 43.83th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 56 | 44.83th | $99 – $135 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (37 HCPCS billing breadth) | 1,208 | 45.83th | $65 – $94 |
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Dr. Lori Sullivan, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Sullivan National Provider Identifier | NPI #1417028697 (MD) | CMS NPPES Registry (43026) |
| Dr. Sullivan Hilliard CMS Volume Rank | 45.83th Pct (2,145 CMS svcs; Z +0.034σ) | CMS Medicare Part B (OH Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Hilliard, OH) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 21 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.89/5 Listening • 4.69/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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