Dr. Gopal Bhalala, MD
2024 Lewis Ave, Zion, IL 60099 • +1-675-555-8509
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & Zion Percentiles
NPI #1669473963 • CBSA Regional • Internal Medicine
Statistical peer benchmarking across IL Internal Medicine providers positions Dr. Gopal Bhalala, MD in Zion at -0.09σ (60th city percentile / 69.87th state percentile, 229 Medicare beneficiaries), with clinical focus spanning 19 Active CMS HCPCS Codes.
Procedural volume for Dr. Bhalala is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 1012 annual services, $137–$187 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 584/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 292/yr).
For out-of-network patients contacting +1-675-555-8509, Dr. Bhalala's practice posts a $218.00 GPCI self-pay consult estimate ($218.00 patient-logged median, 4.69/5 composite reality score over 24 submissions).
Clinical background for Dr. Bhalala (MD, NPI #1669473963) includes accredited doctoral training (2004, 22 yrs in practice) and dedicated on-site consultations at 2024 Lewis Ave.
Compared against Zion, IL Internal Medicine peers
2,248 annual services across 229 beneficiaries
Standard deviations from IL 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 | 1,012 | 60th | $137 – $187 |
| 99213 | Established Preventive & Chronic Care Visit | 584 | 63th | $105 – $143 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 292 | 56th | $50 – $68 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 225 | 62th | $161 – $220 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 135 | 58th | $190 – $261 |
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Dr. Gopal Bhalala, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Bhalala National Provider Identifier | NPI #1669473963 (MD) | CMS NPPES Registry (60099) |
| Dr. Bhalala Zion CMS Volume Rank | 60.00th Pct (2,248 CMS svcs; Z -0.092σ) | CMS Medicare Part B (IL Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Zion, 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 | 4.90/5 Listening • 4.73/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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