Dr. Roumen Balabanov, MD
259 E Erie St Ste 1900, Chicago, IL 60611 • +1-630-555-9531
Medical Education: Accredited U.S. Medical School (Class of 1994)
What This Doctor Actually Performs: CMS Medicare Utilization & Chicago Percentiles
NPI #1508817941 • CBSA 16980 • Neurology
Dr. Roumen Balabanov, MD (NPI #1508817941) practices Neurology in Chicago, IL (60611) with sub-specialty concentration in 40 Active CMS HCPCS Codes, recording 75,079 annual CMS services across 172 distinct beneficiaries—placing this practice as a top-decile high-throughput specialist (95.16th percentile in Chicago) (+3.16σ vs IL state mean, 96.92th statewide percentile).
Procedural volume for Dr. Balabanov is led by HCPCS 99214 (Established Neurologic, Migraine & Movement Evaluation — 225 annual services, $47–$65 GPCI cash estimate), followed by CPT 95910 (7–8 Nerve Conduction Electrodiagnostic Neuropathy Study, 107/yr) and CPT 95819 (Awake & Drowsy Electroencephalogram (EEG) Recording, 86/yr).
Direct cash-pay transparency modeling sets Dr. Balabanov's baseline new-consult rate near $222.00 in Chicago, IL (cash-pay accepted, hybrid in-clinic and telehealth video consults, 22-minute average reception wait).
Patients evaluating Dr. Roumen Balabanov in ZIP 60611 note 32 years of post-doctoral tenure (null, 1994) alongside 436.5 annual CMS procedures per patient.
Top 10% Neurology volume leader in Chicago, IL
75,079 annual services across 172 beneficiaries
Standard deviations from IL Neurology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Neurologic, Migraine & Movement Evaluation | 225 | 95.16th | $47 – $65 |
| 95910 | 7–8 Nerve Conduction Electrodiagnostic Neuropathy Study | 107 | 91.16th | $78 – $107 |
| 95819 | Awake & Drowsy Electroencephalogram (EEG) Recording | 86 | 97.16th | $70 – $96 |
| 64615 | Chemodenervation of Cranial/Cervical Muscles for Chronic Migraine | 64 | 90.16th | $74 – $101 |
| 99204 | Comprehensive New Patient Neurologic Examination | 54 | 91.16th | $66 – $91 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (40 HCPCS billing breadth) | 74,544 | 95.16th | $45 – $65 |
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Dr. Roumen Balabanov, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Balabanov National Provider Identifier | NPI #1508817941 (MD) | CMS NPPES Registry (60611) |
| Dr. Balabanov Chicago CMS Volume Rank | 95.16th Pct (75,079 CMS svcs; Z +3.159σ) | CMS Medicare Part B (IL Neurology) |
| 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 • 22 min lobby wait | 20 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.60/5 Listening • 4.65/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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