Dr. Bantwal Baliga, MD
3320 Skyway DR, Suite 808, Opelika, AL 36801 • +1-871-555-6606
Medical Education: Accredited U.S. Medical School (Class of 2002)
What This Doctor Actually Performs: CMS Medicare Utilization & Opelika Percentiles
NPI #1992847669 • CBSA Regional • Endocrinology
Dr. Bantwal Baliga, MD (NPI #1992847669) practices Endocrinology in Opelika, AL (36801) with sub-specialty concentration in 43 Active CMS HCPCS Codes, recording 20,723 annual CMS services across 747 distinct beneficiaries—placing this practice as a top-decile high-throughput specialist (99th percentile in Opelika) (+3.75σ vs AL state mean, 96.55th statewide percentile).
Fee-schedule auditing of NPI 1992847669 highlights 2448 annual claims for 99214 (99th Opelika percentile; $45–$62 self-pay corridor) plus 1224 encounters under 95251 and 890 under 76536.
Uninsured and high-deductible cash patients visiting Dr. Bantwal Baliga in Opelika (36801) face an estimated $209.00 initial evaluation fee at 3320 Skyway DR, Suite 808 (hybrid in-clinic and telehealth video consults; 10-minute average reception wait; bedside manner 4.60/5 from 22 verified reports).
Patients evaluating Dr. Bantwal Baliga in ZIP 36801 note 24 years of post-doctoral tenure (null, 2002) alongside 27.7 annual CMS procedures per patient.
Top 10% Endocrinology volume leader in Opelika, AL
20,723 annual services across 747 beneficiaries
Standard deviations from AL 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 | 2,448 | 99th | $45 – $62 |
| 95251 | Ambulatory Continuous Glucose Monitoring (CGM) Data Analysis | 1,224 | 99.5th | $28 – $43 |
| 76536 | High-Resolution Thyroid & Parathyroid Neck Ultrasound | 890 | 99.5th | $55 – $75 |
| 99204 | Comprehensive New Patient Endocrine & Hormone Workup | 668 | 99.5th | $62 – $85 |
| 99215 | High-Complexity Multi-Hormone & Insulin Pump Titration | 334 | 99.5th | $70 – $96 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (43 HCPCS billing breadth) | 15,159 | 99th | $45 – $65 |
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Dr. Bantwal Baliga, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Baliga National Provider Identifier | NPI #1992847669 (MD) | CMS NPPES Registry (36801) |
| Dr. Baliga Opelika CMS Volume Rank | 99.00th Pct (20,723 CMS svcs; Z +3.749σ) | CMS Medicare Part B (AL Endocrinology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Opelika, AL) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 10 min lobby wait | 22 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.60/5 Listening • 4.85/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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