Dr. Joseph Riley, MD
703 Tyler St Ste 352, Sandusky, OH 44870 • +1-374-555-5633
Medical Education: Accredited U.S. Medical School (Class of 1997)
What This Doctor Actually Performs: CMS Medicare Utilization & Sandusky Percentiles
NPI #1235572165 • CBSA Regional • Physical Medicine and Rehabilitation
Statistical peer benchmarking across OH Physical Medicine and Rehabilitation providers positions Dr. Joseph Riley, MD in Sandusky at -0.23σ (33.33th city percentile / 40.32th state percentile, 298 Medicare beneficiaries), with clinical focus spanning 16 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Riley (averaging 4.9 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 45% of tracked volume (655 encounters), paired with 99213 (379x).
Direct cash-pay transparency modeling sets Dr. Riley's baseline new-consult rate near $209.00 in Sandusky, OH (cash-pay accepted, hybrid in-clinic and telehealth video consults, 14-minute average reception wait).
Spanning 29 years of clinical practice following 1997 graduation from medical training, Dr. Joseph Riley integrates 16 Active CMS HCPCS Codes diagnostics for Sandusky metro patients.
Compared against Sandusky, OH Physical Medicine and Rehabilitation peers
1,456 annual services across 298 beneficiaries
Standard deviations from OH Physical Medicine and Rehabilitation mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 655 | 33.33th | $127 – $174 |
| 99213 | Established Preventive & Chronic Care Visit | 379 | 33.33th | $97 – $133 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 189 | 38.33th | $46 – $64 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 146 | 31.33th | $149 – $204 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 87 | 31.33th | $177 – $242 |
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Dr. Joseph Riley, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Riley National Provider Identifier | NPI #1235572165 (MD) | CMS NPPES Registry (44870) |
| Dr. Riley Sandusky CMS Volume Rank | 33.33th Pct (1,456 CMS svcs; Z -0.230σ) | CMS Medicare Part B (OH Physical Medicine and Rehabilitation) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Sandusky, OH) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 14 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.71/5 Listening • 4.56/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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