Dr. Horatiu Balas, MD
1 Cellini Pl Ste 102, West Haven, CT 06516 • +1-503-555-1693
Medical Education: Accredited U.S. Medical School (Class of 2015)
What This Doctor Actually Performs: CMS Medicare Utilization & West Haven Percentiles
NPI #1720084320 • CBSA Regional • Internal Medicine
Anchored in West Haven, CT 06516, Dr. Horatiu Balas, MD (NPI 1720084320) logged 698 annual procedures (focused low-volume boutique caseload (14.29th West Haven percentile), 10.23th CT percentile, -0.24σ) with sub-specialty concentration in 29 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Balas (averaging 3.2 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 43% of tracked volume (301 encounters), paired with 99213 (174x).
Self-pay new patient consultations with Dr. Balas (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 11-minute average reception wait, and a 4.70/5 modern protocol openness score across 23 patient logs.
Clinical background for Dr. Balas (MD, NPI #1720084320) includes accredited doctoral training (2015, 11 yrs in practice) and virtual + in-office availability across CT.
Compared against West Haven, CT Internal Medicine peers
698 annual services across 219 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 | 301 | 14.29th | $170 – $233 |
| 99213 | Established Preventive & Chronic Care Visit | 174 | 13.29th | $130 – $178 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 87 | 12th | $62 – $85 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 67 | 18.29th | $200 – $274 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 40 | 12th | $237 – $324 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (29 HCPCS billing breadth) | 30 | 14.29th | $153 – $222 |
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Dr. Horatiu Balas, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Balas National Provider Identifier | NPI #1720084320 (MD) | CMS NPPES Registry (06516) |
| Dr. Balas West Haven CMS Volume Rank | 14.29th Pct (698 CMS svcs; Z -0.242σ) | CMS Medicare Part B (CT Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (West Haven, CT) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 11 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.60/5 Listening • 4.70/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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