Dr. Theodore Lilly, MD
434 S.w. Wilshire, Burleson, TX 76028 • +1-260-555-6162
Medical Education: Accredited U.S. Medical School (Class of 2007)
What This Doctor Actually Performs: CMS Medicare Utilization & Burleson Percentiles
NPI #1154307932 • CBSA Regional • Internal Medicine
Operating out of Burleson, TX (434 S.w. Wilshire), Internal Medicine clinician Dr. Theodore Lilly, MD (accredited MD/DO training, 2007) maintains a mid-cohort balanced caseload (37.5th Burleson percentile) (34.6th TX percentile; Z-score -0.21σ across 1,053 documented services) with sub-specialty concentration in 31 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Theodore Lilly (76028) place 99214 at the top of the practice ledger (377 yearly units, 37.5th metro rank), rounded out by 99213 and 93000.
For out-of-network patients contacting +1-260-555-6162, Dr. Lilly's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.60/5 composite reality score over 3 submissions).
From 434 S.w. Wilshire in Burleson (+1-260-555-6162), Dr. Lilly, MD (19-year clinical track record) delivers 31 Active CMS HCPCS Codes care.
Compared against Burleson, TX Internal Medicine peers
1,053 annual services across 156 beneficiaries
Standard deviations from TX 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 | 377 | 37.5th | $124 – $170 |
| 99213 | Established Preventive & Chronic Care Visit | 218 | 39.5th | $95 – $130 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 109 | 32.5th | $45 – $62 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 84 | 32.5th | $146 – $200 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 50 | 38.5th | $173 – $237 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (31 HCPCS billing breadth) | 215 | 37.5th | $112 – $162 |
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Dr. Theodore Lilly, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Lilly National Provider Identifier | NPI #1154307932 (MD) | CMS NPPES Registry (76028) |
| Dr. Lilly Burleson CMS Volume Rank | 37.50th Pct (1,053 CMS svcs; Z -0.206σ) | CMS Medicare Part B (TX Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Burleson, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 21 min lobby wait | 3 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.67/5 Listening • 4.69/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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