Dr. Joseph Balsamo, MD
1591 Boston Post Rd Ste 100, Guilford, CT 06437 • +1-434-555-1400
Medical Education: Accredited U.S. Medical School (Class of 2018)
What This Doctor Actually Performs: CMS Medicare Utilization & Guilford Percentiles
NPI #1487650222 • CBSA Regional • Internal Medicine
Statistical peer benchmarking across CT Internal Medicine providers positions Dr. Joseph Balsamo, MD in Guilford at -0.24σ (14.29th city percentile / 12.87th state percentile, 288 Medicare beneficiaries), with clinical focus spanning 33 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1487650222 highlights 309 annual claims for 99214 (14.29th Guilford percentile; $167–$229 self-pay corridor) plus 178 encounters under 99213 and 89 under 93000.
Cash-pay intake data for NPI 1487650222 (1591 Boston Post Rd Ste 100, Guilford) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 9-minute average reception wait and 4.41/5 biomarker openness.
NPI registry verification (#1487650222) confirms Dr. Joseph Balsamo's MD standing serving CBSA 06437 with a 4.74/5 patient scorecard.
Compared against Guilford, CT Internal Medicine peers
720 annual services across 288 beneficiaries
Standard deviations from CT 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 | 309 | 14.29th | $167 – $229 |
| 99213 | Established Preventive & Chronic Care Visit | 178 | 14.29th | $128 – $175 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 89 | 12th | $61 – $83 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 69 | 12th | $196 – $268 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 41 | 12th | $232 – $318 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (33 HCPCS billing breadth) | 34 | 14.29th | $150 – $218 |
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Dr. Joseph Balsamo, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Balsamo National Provider Identifier | NPI #1487650222 (MD) | CMS NPPES Registry (06437) |
| Dr. Balsamo Guilford CMS Volume Rank | 14.29th Pct (720 CMS svcs; Z -0.237σ) | CMS Medicare Part B (CT Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Guilford, CT) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 9 min lobby wait | 5 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.67/5 Listening • 4.41/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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