Dr. Usah Lilavivat, MD
635 W Wesmark Blvd, Sumter, SC 29150 • +1-295-555-7880
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & Sumter Percentiles
NPI #1437241262 • CBSA Regional • Endocrinology
Dr. Usah Lilavivat, MD (NPI #1437241262) practices Endocrinology in Sumter, SC (29150) with sub-specialty concentration in 100 Active CMS HCPCS Codes, recording 12,160 annual CMS services across 572 distinct beneficiaries—placing this practice as a top-decile high-throughput specialist (99th percentile in Sumter) (+0.08σ vs SC state mean, 93.88th statewide percentile).
Medicare Part B line-item claims for Dr. Usah Lilavivat (29150) place 99214 at the top of the practice ledger (3096 yearly units, 99th metro rank), rounded out by 95251 and 76536.
Self-pay new patient consultations with Dr. Lilavivat (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 12-minute average reception wait, and a 4.91/5 modern protocol openness score across 24 patient logs.
Credentialed as an MD specialist with 22 years post-graduation experience since completing medical school at an LCME/COCA institution (2004), Dr. Lilavivat coordinates 100 Active CMS HCPCS Codes workups from 635 W Wesmark Blvd (+1-295-555-7880).
Top 10% Endocrinology volume leader in Sumter, SC
12,160 annual services across 572 beneficiaries
Standard deviations from SC Endocrinology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Complex Endocrine, Thyroid & Metabolic Biomarker Management | 3,096 | 99th | $63 – $87 |
| 95251 | Ambulatory Continuous Glucose Monitoring (CGM) Data Analysis | 1,548 | 98th | $39 – $54 |
| 76536 | High-Resolution Thyroid & Parathyroid Neck Ultrasound | 1,126 | 99.5th | $76 – $105 |
| 99204 | Comprehensive New Patient Endocrine & Hormone Workup | 844 | 99.5th | $87 – $119 |
| 99215 | High-Complexity Multi-Hormone & Insulin Pump Titration | 422 | 99.5th | $97 – $133 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (100 HCPCS billing breadth) | 5,123 | 99th | $55 – $80 |
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Dr. Usah Lilavivat, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Lilavivat National Provider Identifier | NPI #1437241262 (MD) | CMS NPPES Registry (29150) |
| Dr. Lilavivat Sumter CMS Volume Rank | 99.00th Pct (12,160 CMS svcs; Z +0.083σ) | CMS Medicare Part B (SC Endocrinology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Sumter, SC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 12 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.81/5 Listening • 4.91/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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