Dr. Philip Balikian, MD
15611 Pomerado Rd, Poway, CA 92064 • +1-493-555-8852
Medical Education: Accredited U.S. Medical School (Class of 2018)
What This Doctor Actually Performs: CMS Medicare Utilization & Poway Percentiles
NPI #1407803687 • CBSA Regional • Orthopedic Surgery
Statistical peer benchmarking across CA Orthopedic Surgery providers positions Dr. Philip Balikian, MD in Poway at +1.17σ (50th city percentile / 94.91th state percentile, 281 Medicare beneficiaries), with clinical focus spanning 68 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1407803687 highlights 571 annual claims for 99213 (50th Poway percentile; $40–$55 self-pay corridor) plus 428 encounters under 20610 and 301 under 73562.
For out-of-network patients contacting +1-493-555-8852, Dr. Balikian's practice posts a $239.00 GPCI self-pay consult estimate ($239.00 patient-logged median, 4.93/5 composite reality score over 20 submissions).
Spanning 8 years of clinical practice following 2018 graduation from medical training, Dr. Philip Balikian integrates 68 Active CMS HCPCS Codes diagnostics for Poway metro patients.
Compared against Poway, CA Orthopedic Surgery peers
18,357 annual services across 281 beneficiaries
Standard deviations from CA Orthopedic Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Orthopedic Joint & Spine Mobility Evaluation | 571 | 50th | $40 – $55 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 428 | 51th | $42 – $58 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 301 | 50th | $25 – $40 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 174 | 52th | $57 – $78 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 111 | 48th | $366 – $502 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (68 HCPCS billing breadth) | 16,772 | 50th | $45 – $65 |
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Dr. Philip Balikian, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Balikian National Provider Identifier | NPI #1407803687 (MD) | CMS NPPES Registry (92064) |
| Dr. Balikian Poway CMS Volume Rank | 50.00th Pct (18,357 CMS svcs; Z +1.171σ) | CMS Medicare Part B (CA Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Poway, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 10 min lobby wait | 20 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.90/5 Listening • 4.76/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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