Psychiatry • Washington, DC 20016 • NPI #1619321171

Dr. Nina Ballone, MD

5255 Loughboro Rd Nw, Washington, DC 20016 • +1-830-555-9441

Medical Education: Accredited U.S. Medical School (Class of 2004)

17 Active CMS HCPCS Codes
4.63/5
Waiting-Room Score
18 patient logs
$209.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Washington Percentiles

NPI #1619321171 • CBSA Regional • Psychiatry

Dr. Nina Ballone DotMD Verification Badge

Operating out of Washington, DC (5255 Loughboro Rd Nw), Psychiatry clinician Dr. Nina Ballone, MD (accredited MD/DO training, 2004) maintains a focused low-volume boutique caseload (0th Washington percentile) (0th DC percentile; Z-score -0.61σ across 629 documented services) with sub-specialty concentration in 17 Active CMS HCPCS Codes.

Procedural volume for Dr. Ballone is led by HCPCS 99214 (Psychopharmacology Medication & Symptom Titration Visit — 277 annual services, $174–$238 GPCI cash estimate), followed by CPT 90833 (Add-On Focused Psychotherapy w/ Medical Evaluation (30 min), 176/yr) and CPT 99213 (Established Behavioral Health Maintenance Follow-Up, 101/yr).

At 5255 Loughboro Rd Nw (20016), Dr. Nina Ballone, MD accommodates direct self-pay scheduling (in-person clinic visits only) at ~$209.00 per new consult (4.74/5 bedside rating).

Patients evaluating Dr. Nina Ballone in ZIP 20016 note 22 years of post-doctoral tenure (null, 2004) alongside 5.2 annual CMS procedures per patient.

Washington Percentile 0.00th

Compared against Washington, DC Psychiatry peers

DC State Percentile 0.00th

629 annual services across 121 beneficiaries

Regional Volume Z-Score -0.606σ

Standard deviations from DC Psychiatry mean utilization

Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks

HCPCS Clinical Procedure Description Annual Volume Local Pct Est. Cash Range
99214 Psychopharmacology Medication & Symptom Titration Visit 277 12th $174 – $238
90833 Add-On Focused Psychotherapy w/ Medical Evaluation (30 min) 176 12th $125 – $172
99213 Established Behavioral Health Maintenance Follow-Up 101 12th $133 – $182
90792 Comprehensive Psychiatric Diagnostic & Medical Evaluation 75 12th $273 – $374
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Dr. Nina Ballone, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Ballone National Provider Identifier NPI #1619321171 (MD) CMS NPPES Registry (20016)
Dr. Ballone Washington CMS Volume Rank 0.00th Pct (629 CMS svcs; Z -0.606σ) CMS Medicare Part B (DC Psychiatry)
Fair Cash-Pay New-Patient Benchmark $209.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (Washington, DC)
Waiting-Room Wait Time & Cash Friendliness $209.00 avg paid • 14 min lobby wait 18 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.74/5 Listening • 4.58/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
14 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $209.00
Listens Without Rushing
4.74/5
Patient communication rating
Modern Protocol Openness
4.58/5
Preventive labs, GLP-1s & HRT
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