Dr. Simona Balu, MD
250 E Erie Street, Chicago, IL 60611 • +1-630-555-9787
Medical Education: Accredited U.S. Medical School (Class of 2010)
What This Doctor Actually Performs: CMS Medicare Utilization & Chicago Percentiles
NPI #1629362462 • CBSA 16980 • Hospitalist
Operating out of Chicago, IL (250 E Erie Street), Hospitalist clinician Dr. Simona Balu, MD (accredited MD/DO training, 2010) maintains a upper-quartile active clinical volume (71.05th Chicago percentile) (55.83th IL percentile; Z-score -0.12σ across 971 documented services) with sub-specialty concentration in 14 Active CMS HCPCS Codes.
Procedural volume for Dr. Balu is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 437 annual services, $174–$239 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 252/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 126/yr).
For out-of-network patients contacting +1-630-555-9787, Dr. Balu's practice posts a $222.00 GPCI self-pay consult estimate ($222.00 patient-logged median, 4.94/5 composite reality score over 9 submissions).
Spanning 16 years of clinical practice following 2010 graduation from medical training, Dr. Simona Balu integrates 14 Active CMS HCPCS Codes diagnostics for Chicago metro patients.
Compared against Chicago, IL Hospitalist peers
971 annual services across 319 beneficiaries
Standard deviations from IL Hospitalist 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 | 437 | 71.05th | $174 – $239 |
| 99213 | Established Preventive & Chronic Care Visit | 252 | 68.05th | $133 – $183 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 126 | 70.05th | $64 – $87 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 97 | 72.05th | $205 – $281 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 58 | 70.05th | $243 – $332 |
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Dr. Simona Balu, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Balu National Provider Identifier | NPI #1629362462 (MD) | CMS NPPES Registry (60611) |
| Dr. Balu Chicago CMS Volume Rank | 71.05th Pct (971 CMS svcs; Z -0.122σ) | CMS Medicare Part B (IL Hospitalist) |
| Fair Cash-Pay New-Patient Benchmark | $222.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Chicago, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $222.00 avg paid • 15 min lobby wait | 9 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.55/5 Listening • 4.74/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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