Dr. Ajay Balaram, MD
515 W Algonquin Rd, Arlington Heights, IL 60005 • +1-831-555-7720
Medical Education: Accredited U.S. Medical School (Class of 2001)
What This Doctor Actually Performs: CMS Medicare Utilization & Arlington Heights Percentiles
NPI #1013171636 • CBSA Regional • Hand Surgery
Statistical peer benchmarking across IL Hand Surgery providers positions Dr. Ajay Balaram, MD in Arlington Heights at -0.81σ (20th city percentile / 7.58th state percentile, 158 Medicare beneficiaries), with clinical focus spanning 58 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Balaram (averaging 5.7 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 35% of tracked volume (317 encounters), paired with 99213 (183x).
Uninsured and high-deductible cash patients visiting Dr. Ajay Balaram in Arlington Heights (60005) face an estimated $218.00 initial evaluation fee at 515 W Algonquin Rd (in-person clinic visits only; 14-minute average reception wait; bedside manner 4.69/5 from 24 verified reports).
NPI registry verification (#1013171636) confirms Dr. Ajay Balaram's MD standing serving CBSA 60005 with a 4.69/5 patient scorecard.
Compared against Arlington Heights, IL Hand Surgery peers
894 annual services across 158 beneficiaries
Standard deviations from IL Hand Surgery 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 | 317 | 20th | $147 – $202 |
| 99213 | Established Preventive & Chronic Care Visit | 183 | 24th | $113 – $154 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 92 | 24th | $54 – $74 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 71 | 25th | $173 – $237 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 42 | 24th | $205 – $281 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (58 HCPCS billing breadth) | 189 | 20th | $133 – $193 |
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Dr. Ajay Balaram, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Balaram National Provider Identifier | NPI #1013171636 (MD) | CMS NPPES Registry (60005) |
| Dr. Balaram Arlington Heights CMS Volume Rank | 20.00th Pct (894 CMS svcs; Z -0.811σ) | CMS Medicare Part B (IL Hand Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Arlington Heights, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 14 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.69/5 Listening • 4.42/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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