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Internal Medicine • Grove City, PA 16127 • NPI #1649258765 TOP 10% GROVE CITY CMS VOLUME

Dr. Timothy Lilly, DO

432 Hillcrest Ave, Suite 3, Grove City, PA 16127 • +1-869-555-7205

Medical Education: Accredited U.S. Medical School (Class of 1993)

38 Active CMS HCPCS Codes
4.80/5
Waiting-Room Score
19 patient logs
$209.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Grove City Percentiles

NPI #1649258765 • CBSA Regional • Internal Medicine

Dr. Timothy Lilly DotMD Verification Badge

Anchored in Grove City, PA 16127, Dr. Timothy Lilly, DO (NPI 1649258765) logged 960 annual procedures (top-decile high-throughput specialist (99th percentile in Grove City), 33.59th PA percentile, -0.19σ) with sub-specialty concentration in 38 Active CMS HCPCS Codes.

Medicare Part B line-item claims for Dr. Timothy Lilly (16127) place 99214 at the top of the practice ledger (374 yearly units, 99th metro rank), rounded out by 99213 and 93000.

Uninsured and high-deductible cash patients visiting Dr. Timothy Lilly in Grove City (16127) face an estimated $209.00 initial evaluation fee at 432 Hillcrest Ave, Suite 3 (hybrid in-clinic and telehealth video consults; 13-minute average reception wait; bedside manner 4.87/5 from 19 verified reports).

Clinical background for Dr. Lilly (DO, NPI #1649258765) includes accredited doctoral training (1993, 33 yrs in practice) and virtual + in-office availability across PA.

Grove City Percentile 99.00th

Top 10% Internal Medicine volume leader in Grove City, PA

PA State Percentile 33.59th

960 annual services across 221 beneficiaries

Regional Volume Z-Score -0.186σ

Standard deviations from PA Internal Medicine 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 374 99th $130 – $178
99213 Established Preventive & Chronic Care Visit 216 96th $100 – $136
93000 In-Office 12-Lead Resting Electrocardiogram 108 94th $48 – $65
G0439 Annual Preventive Wellness & Cardiometabolic Risk Assessment 83 94th $153 – $209
99204 Comprehensive New Patient Internal Medicine Diagnostic Visit 50 99.5th $181 – $248
96372 Therapeutic Subcutaneous/Intramuscular Injection Administration (38 HCPCS billing breadth) 130 99th $117 – $170
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Dr. Timothy Lilly, DO Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Lilly National Provider Identifier NPI #1649258765 (DO) CMS NPPES Registry (16127)
Dr. Lilly Grove City CMS Volume Rank 99.00th Pct (960 CMS svcs; Z -0.186σ) CMS Medicare Part B (PA Internal Medicine)
Fair Cash-Pay New-Patient Benchmark $209.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (Grove City, PA)
Waiting-Room Wait Time & Cash Friendliness $209.00 avg paid • 13 min lobby wait 19 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.87/5 Listening • 4.48/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
13 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $209.00
Listens Without Rushing
4.87/5
Patient communication rating
Modern Protocol Openness
4.48/5
Preventive labs, GLP-1s & HRT
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