Dr. Jonathan Lilly, MD
1100 Grosscup Ave, Dunbar, WV 25064 • +1-966-555-9356
Medical Education: Accredited U.S. Medical School (Class of 1992)
What This Doctor Actually Performs: CMS Medicare Utilization & Dunbar Percentiles
NPI #1073574414 • CBSA Regional • Family Practice
Within the Dunbar, WV (CBSA local) Family Practice cohort, Dr. Jonathan Lilly, MD with sub-specialty concentration in 25 Active CMS HCPCS Codes ranks at the 50th municipal percentile and 62.95th WV percentile (-0.17σ Z-score) based on 1,504 billed procedures for 333 patients.
Among 6 tracked CMS fee-schedule codes for Dr. Lilly (averaging 4.5 services per beneficiary), 99214 (Comprehensive Primary Care & Chronic Protocol Management) represents 41% of tracked volume (614 encounters), paired with 99213 (453x).
Self-pay new patient consultations with Dr. Lilly (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 11-minute average reception wait, and a 4.90/5 modern protocol openness score across 15 patient logs.
Clinical background for Dr. Lilly (MD, NPI #1073574414) includes accredited doctoral training (1992, 34 yrs in practice) and dedicated on-site consultations at 1100 Grosscup Ave.
Compared against Dunbar, WV Family Practice peers
1,504 annual services across 333 beneficiaries
Standard deviations from WV 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 | 614 | 50th | $133 – $183 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 453 | 47th | $102 – $140 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 175 | 52th | $153 – $210 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 131 | 46th | $29 – $44 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 88 | 51th | $183 – $251 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (25 HCPCS billing breadth) | 43 | 50th | $120 – $174 |
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Dr. Jonathan Lilly, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Lilly National Provider Identifier | NPI #1073574414 (MD) | CMS NPPES Registry (25064) |
| Dr. Lilly Dunbar CMS Volume Rank | 50.00th Pct (1,504 CMS svcs; Z -0.167σ) | CMS Medicare Part B (WV Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Dunbar, WV) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 11 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.95/5 Listening • 4.90/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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