Dr. Michael Sullivan , PA-C
Moderate MarkupBalanced Practice
Maintains a steady clinical rhythm balancing focused physical examination with patient discussion.
How is appointment length calculated?
Visit durations reflect official documentation standards for Evaluation and Management (E/M) office billing codes (CPT 99202 through 99215).
Physicians who bill higher-level comprehensive visits (such as 99214 and 99215) consistently spend 30 to 45 minutes reviewing complex records and discussing care plans, whereas routine refill clinics predominantly bill briefer level 2 and 3 codes.
Appointment Length & Visit Style
Clinical appointment coding analysis across standard patient evaluations
Dr. Sullivan provides standard-duration consultations averaging approximately 25 minutes per visit, aligned with typical medical practice guidelines.
Pricing Transparency & Fee Comparison
How this provider bills compared to standard insurance benchmarks
Dr. Sullivan bills moderately higher than baseline insurance benchmarks. If you are in-network, your co-pay or coinsurance will be determined by your plan's contracted rate. If paying out of pocket, request an upfront written fee estimate.
Verified Clinical Procedures & Surgical Focus
Official annual procedure volumes, customary fee comparisons, and clinical focus areas.
| Clinical Procedure & Code | Annual Services | Doctor Charge | Peer Norm | Standard Baseline | vs. Peer Norm |
|---|---|---|---|---|---|
HCPCS J0897 | 3,900 | $39.32 | $41.68 | $23.25 | 0.94x |
HCPCS J3301 | 3,656 | $5.59 | $6.00 | $1.07 | 0.93x |
HCPCS J7318 | 1,440 | $34.00 | $27.05 | $6.76 | 1.26x |
HCPCS J3304 | 1,216 | $35.00 | $39.00 | $16.15 | 0.9x |
CPT 20610 | 704 | $324.05 | $221.85 | $65.31 | 1.46x |
CPT 99213 | 131 | $150.00 | $168.44 | $75.27 | 0.89x |
CPT 96372 | 63 | $58.00 | $46.56 | $11.67 | 1.25x |
CPT 27447 | 63 | $1342.80 | $4196.91 | $182.12 | 0.32x |
Other Physician Assistant Doctors in Illinois
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👨⚕️ Physician & Medical Billing Intelligence (Click to view professional coding data)Expand ↓
This section provides clinical practice analytics for healthcare administrators, billing coders, and peer physicians evaluating practice benchmarks:
Estimated appointment time calculation: 25 minutes. Indicates the proportion of high-complexity (99205/99215) vs. moderate-complexity (99204/99214) documentation relative to national specialty peers.
Gross charge multiplier: 3.16x. Useful for fee schedule alignment, out-of-network charge master analysis, and payer contract negotiations.
Patient Guidance: What to Ask Before Your Appointment
- In-Network Confirmation: Confirm directly with your insurance plan that Dr. Sullivan participates in your specific network tier.
- Surgical Facility Fees: If having surgery, verify whether it will be in a hospital or an outpatient surgery center. Facility charges are billed separately from physician fees.
- Written Estimates: If you are paying out of pocket or have a high deductible, request a written good-faith estimate before major treatments.