Dr. Eduardo Balbona, MD
2257 Oak St, Jacksonville, FL 32204 • +1-221-555-3896
Medical Education: Accredited U.S. Medical School (Class of 2003)
What This Doctor Actually Performs: CMS Medicare Utilization & Jacksonville Percentiles
NPI #1073506168 • CBSA Regional • Internal Medicine
Anchored in Jacksonville, FL 32204, Dr. Eduardo Balbona, MD (NPI 1073506168) logged 1,928 annual procedures (mid-cohort balanced caseload (63.91th Jacksonville percentile), 60.05th FL percentile, -0.07σ) with sub-specialty concentration in 15 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Eduardo Balbona (32204) place 99214 at the top of the practice ledger (868 yearly units, 63.91th metro rank), rounded out by 99213 and 93000.
Self-pay new patient consultations with Dr. Balbona (CPT 99204 GPCI-adjusted benchmark) estimate around $216.00 (community reported average: $216.00) with hybrid in-clinic and telehealth video consults, 16-minute average reception wait, and a 4.63/5 modern protocol openness score across 8 patient logs.
Clinical background for Dr. Balbona (MD, NPI #1073506168) includes accredited doctoral training (2003, 23 yrs in practice) and virtual + in-office availability across FL.
Compared against Jacksonville, FL Internal Medicine peers
1,928 annual services across 534 beneficiaries
Standard deviations from FL 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 | 868 | 63.91th | $192 – $263 |
| 99213 | Established Preventive & Chronic Care Visit | 501 | 66.91th | $147 – $201 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 251 | 61.91th | $70 – $96 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 193 | 62.91th | $225 – $309 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 116 | 59.91th | $267 – $366 |
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Dr. Eduardo Balbona, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Balbona National Provider Identifier | NPI #1073506168 (MD) | CMS NPPES Registry (32204) |
| Dr. Balbona Jacksonville CMS Volume Rank | 63.91th Pct (1,928 CMS svcs; Z -0.071σ) | CMS Medicare Part B (FL Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $216.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Jacksonville, FL) |
| Waiting-Room Wait Time & Cash Friendliness | $216.00 avg paid • 16 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.64/5 Listening • 4.63/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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