Dr. Sheila Sullivan, DO
123 Hospital Drive, Suite 1002, Watertown, WI 53098 • +1-918-555-8643
Medical Education: Accredited U.S. Medical School (Class of 2014)
What This Doctor Actually Performs: CMS Medicare Utilization & Watertown Percentiles
NPI #1992023493 • CBSA Regional • Ophthalmology
Dr. Sheila Sullivan, DO (NPI #1992023493) practices Ophthalmology in Watertown, WI (53098) with sub-specialty concentration in 31 Active CMS HCPCS Codes, recording 1,514 annual CMS services across 642 distinct beneficiaries—placing this practice as a top-decile high-throughput specialist (99th percentile in Watertown) (-0.29σ vs WI state mean, 29.73th statewide percentile).
Fee-schedule auditing of NPI 1992023493 highlights 560 annual claims for 92014 (99th Watertown percentile; $154–$211 self-pay corridor) plus 394 encounters under 92134 and 257 under 92083.
Direct cash-pay transparency modeling sets Dr. Sullivan's baseline new-consult rate near $209.00 in Watertown, WI (cash-pay accepted, hybrid in-clinic and telehealth video consults, 17-minute average reception wait).
NPI registry verification (#1992023493) confirms Dr. Sheila Sullivan's DO standing serving CBSA 53098 with a 4.94/5 patient scorecard.
Top 10% Ophthalmology volume leader in Watertown, WI
1,514 annual services across 642 beneficiaries
Standard deviations from WI Ophthalmology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 92014 | Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam | 560 | 99th | $154 – $211 |
| 92134 | Scanning Computerized Ophthalmic Retinal OCT Imaging | 394 | 94th | $85 – $116 |
| 92083 | Extended Threshold Visual Field Glaucoma Perimetry | 257 | 98th | $102 – $139 |
| 92004 | New Patient Complete Medical Eye & IOP Evaluation | 182 | 99.5th | $185 – $254 |
| 66984 | Extracapsular Cataract Removal w/ Intraocular Lens Implant | 121 | 94th | $678 – $929 |
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Dr. Sheila Sullivan, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Sullivan National Provider Identifier | NPI #1992023493 (DO) | CMS NPPES Registry (53098) |
| Dr. Sullivan Watertown CMS Volume Rank | 99.00th Pct (1,514 CMS svcs; Z -0.295σ) | CMS Medicare Part B (WI Ophthalmology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Watertown, WI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 17 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.57/5 Listening • 4.55/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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