Dr. Kevin Balar, MD
101 E Valencia Mesa DR, Fullerton, CA 92835 • +1-407-555-6987
Medical Education: Accredited U.S. Medical School (Class of 2010)
What This Doctor Actually Performs: CMS Medicare Utilization & Fullerton Percentiles
NPI #1255776803 • CBSA Regional • Internal Medicine
Anchored in Fullerton, CA 92835, Dr. Kevin Balar, MD (NPI 1255776803) logged 857 annual procedures (mid-cohort balanced caseload (40.74th Fullerton percentile), 19.38th CA percentile, -0.10σ) with sub-specialty concentration in 8 Active CMS HCPCS Codes.
Procedural volume for Dr. Balar is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 386 annual services, $164–$225 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 223/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 111/yr).
Direct cash-pay transparency modeling sets Dr. Balar's baseline new-consult rate near $239.00 in Fullerton, CA (cash-pay accepted, in-person clinic visits only, 21-minute average reception wait).
Credentialed as an MD specialist with 16 years post-graduation experience since completing medical school at an LCME/COCA institution (2010), Dr. Balar coordinates 8 Active CMS HCPCS Codes workups from 101 E Valencia Mesa DR (+1-407-555-6987).
Compared against Fullerton, CA Internal Medicine peers
857 annual services across 274 beneficiaries
Standard deviations from CA 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 | 386 | 40.74th | $164 – $225 |
| 99213 | Established Preventive & Chronic Care Visit | 223 | 43.74th | $125 – $172 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 111 | 43.74th | $60 – $82 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 86 | 39.74th | $192 – $264 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 51 | 44.74th | $228 – $312 |
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Dr. Kevin Balar, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Balar National Provider Identifier | NPI #1255776803 (MD) | CMS NPPES Registry (92835) |
| Dr. Balar Fullerton CMS Volume Rank | 40.74th Pct (857 CMS svcs; Z -0.103σ) | CMS Medicare Part B (CA Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Fullerton, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 21 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.77/5 Listening • 4.84/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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