Dr. Robert Balk, MD
1725 W Harrison St, Pob 054, Chicago, IL 60612 • +1-506-555-8037
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & Chicago Percentiles
NPI #1134173503 • CBSA 16980 • Pulmonary Disease
Dr. Robert Balk, MD (NPI #1134173503) practices Pulmonary Disease in Chicago, IL (60612) with sub-specialty concentration in 22 Active CMS HCPCS Codes, recording 747 annual CMS services across 264 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (10.2th Chicago percentile) (-0.35σ vs IL state mean, 7.75th statewide percentile).
Fee-schedule auditing of NPI 1134173503 highlights 306 annual claims for 99214 (12th Chicago percentile; $166–$228 self-pay corridor) plus 172 encounters under 94060 and 127 under 94729.
Self-pay new patient consultations with Dr. Balk (CPT 99204 GPCI-adjusted benchmark) estimate around $222.00 (community reported average: $222.00) with in-person clinic visits only, 16-minute average reception wait, and a 4.87/5 modern protocol openness score across 18 patient logs.
Spanning 22 years of clinical practice following 2004 graduation from medical training, Dr. Robert Balk integrates 22 Active CMS HCPCS Codes diagnostics for Chicago metro patients.
Compared against Chicago, IL Pulmonary Disease peers
747 annual services across 264 beneficiaries
Standard deviations from IL Pulmonary Disease 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 Pulmonary, Asthma & COPD Management | 306 | 12th | $166 – $228 |
| 94060 | Pre- & Post-Bronchodilator Spirometry Airflow Evaluation | 172 | 13.2th | $108 – $149 |
| 94729 | Alveolar Carbon Monoxide Diffusing Capacity (DLCO) | 127 | 12th | $98 – $135 |
| 95810 | Attended Sleep Apnea Polysomnography Interpretation | 82 | 12th | $304 – $416 |
| 99204 | Comprehensive New Patient Respiratory & Sleep Workup | 60 | 12th | $234 – $321 |
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Dr. Robert Balk, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Balk National Provider Identifier | NPI #1134173503 (MD) | CMS NPPES Registry (60612) |
| Dr. Balk Chicago CMS Volume Rank | 10.20th Pct (747 CMS svcs; Z -0.346σ) | CMS Medicare Part B (IL Pulmonary Disease) |
| 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 • 16 min lobby wait | 18 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.83/5 Listening • 4.87/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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