Dr. Amro Balki, MD
2336 Santa Monica Blvd Ste 207, Santa Monica, CA 90404 • +1-806-555-2275
Medical Education: Accredited U.S. Medical School (Class of 1995)
What This Doctor Actually Performs: CMS Medicare Utilization & Santa Monica Percentiles
NPI #1922237593 • CBSA Regional • Rheumatology
Dr. Amro Balki, MD (NPI #1922237593) practices Rheumatology in Santa Monica, CA (90404) with sub-specialty concentration in 22 Active CMS HCPCS Codes, recording 6,020 annual CMS services across 417 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (60th Santa Monica percentile) (-0.44σ vs CA state mean, 49.86th statewide percentile).
Procedural volume for Dr. Balki is led by HCPCS 99214 (Autoimmune Arthritis & Biologic/DMARD Safety Evaluation — 966 annual services, $53–$73 GPCI cash estimate), followed by CPT 20610 (Large Joint Synovial Arthrocentesis or Corticosteroid Injection, 441/yr) and CPT 96413 (Intravenous Biologic Infusion Therapy (First Hour), 315/yr).
Self-pay new patient consultations with Dr. Balki (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with in-person clinic visits only, 10-minute average reception wait, and a 4.74/5 modern protocol openness score across 12 patient logs.
Spanning 31 years of clinical practice following 1995 graduation from medical training, Dr. Amro Balki integrates 22 Active CMS HCPCS Codes diagnostics for Santa Monica metro patients.
Compared against Santa Monica, CA Rheumatology peers
6,020 annual services across 417 beneficiaries
Standard deviations from CA Rheumatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Autoimmune Arthritis & Biologic/DMARD Safety Evaluation | 966 | 60th | $53 – $73 |
| 20610 | Large Joint Synovial Arthrocentesis or Corticosteroid Injection | 441 | 60th | $42 – $58 |
| 96413 | Intravenous Biologic Infusion Therapy (First Hour) | 315 | 58th | $74 – $101 |
| 76881 | Complete Joint Synovitis High-Resolution Ultrasound | 210 | 58th | $56 – $76 |
| 99204 | New Patient Autoimmune & Rheumatology Diagnostic Workup | 168 | 57th | $74 – $101 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (22 HCPCS billing breadth) | 3,919 | 60th | $46 – $67 |
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Dr. Amro Balki, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Balki National Provider Identifier | NPI #1922237593 (MD) | CMS NPPES Registry (90404) |
| Dr. Balki Santa Monica CMS Volume Rank | 60.00th Pct (6,020 CMS svcs; Z -0.439σ) | CMS Medicare Part B (CA Rheumatology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Santa Monica, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 10 min lobby wait | 12 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.62/5 Listening • 4.74/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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