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Family Practice • Elverson, PA 19520 • NPI #1235499153

Dr. Lisa Gallagher, DO

315 Darby Sq, Elverson, PA 19520 • +1-385-555-6695

Medical Education: Accredited U.S. Medical School (Class of 2015)

34 Active CMS HCPCS Codes
4.78/5
Waiting-Room Score
17 patient logs
$209.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Elverson Percentiles

NPI #1235499153 • CBSA Regional • Family Practice

Dr. Lisa Gallagher DotMD Verification Badge

Dr. Lisa Gallagher, DO (NPI #1235499153) practices Family Practice in Elverson, PA (19520) with sub-specialty concentration in 34 Active CMS HCPCS Codes, recording 1,137 annual CMS services across 270 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (66.67th Elverson percentile) (-0.33σ vs PA state mean, 41.22th statewide percentile).

Fee-schedule auditing of NPI 1235499153 highlights 455 annual claims for 99214 (66.67th Elverson percentile; $165–$226 self-pay corridor) plus 336 encounters under 99213 and 130 under G0439.

Uninsured and high-deductible cash patients visiting Dr. Lisa Gallagher in Elverson (19520) face an estimated $209.00 initial evaluation fee at 315 Darby Sq (hybrid in-clinic and telehealth video consults; 15-minute average reception wait; bedside manner 4.83/5 from 17 verified reports).

Clinical background for Dr. Gallagher (DO, NPI #1235499153) includes accredited doctoral training (2015, 11 yrs in practice) and virtual + in-office availability across PA.

Elverson Percentile 66.67th

Compared against Elverson, PA Family Practice peers

PA State Percentile 41.22th

1,137 annual services across 270 beneficiaries

Regional Volume Z-Score -0.327σ

Standard deviations from PA 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 455 66.67th $165 – $226
99213 Focused Acute & Preventive Primary Care Evaluation 336 66.67th $126 – $173
G0439 Annual Wellness Biomarker & Preventive Screening Visit 130 65.67th $189 – $260
36415 Routine Venipuncture Blood Biomarker Collection 97 68.67th $36 – $51
99204 New Patient Primary Care Intake & Diagnostic Plan 65 64.67th $227 – $311
96372 Therapeutic Subcutaneous/Intramuscular Injection Administration (34 HCPCS billing breadth) 54 66.67th $149 – $216
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Dr. Lisa Gallagher, DO Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Gallagher National Provider Identifier NPI #1235499153 (DO) CMS NPPES Registry (19520)
Dr. Gallagher Elverson CMS Volume Rank 66.67th Pct (1,137 CMS svcs; Z -0.327σ) CMS Medicare Part B (PA Family Practice)
Fair Cash-Pay New-Patient Benchmark $209.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (Elverson, PA)
Waiting-Room Wait Time & Cash Friendliness $209.00 avg paid • 15 min lobby wait 17 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.83/5 Listening • 4.74/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
15 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $209.00
Listens Without Rushing
4.83/5
Patient communication rating
Modern Protocol Openness
4.74/5
Preventive labs, GLP-1s & HRT
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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