Dr. Gautam Balakrishnan, MD
5301 Faraon St Ste 210b, Saint Joseph, MO 64506 • +1-812-555-2379
Medical Education: Accredited U.S. Medical School (Class of 2015)
What This Doctor Actually Performs: CMS Medicare Utilization & Saint Joseph Percentiles
NPI #1609214519 • CBSA Regional • Pulmonary Disease
Within the Saint Joseph, MO (CBSA local) Pulmonary Disease cohort, Dr. Gautam Balakrishnan, MD with sub-specialty concentration in 50 Active CMS HCPCS Codes ranks at the 0th municipal percentile and 78.32th MO percentile (+0.21σ Z-score) based on 2,292 billed procedures for 645 patients.
Among 5 tracked CMS fee-schedule codes for Dr. Balakrishnan (averaging 3.6 services per beneficiary), 99214 (Established Pulmonary, Asthma & COPD Management) represents 41% of tracked volume (940 encounters), paired with 94060 (527x).
Direct cash-pay transparency modeling sets Dr. Balakrishnan's baseline new-consult rate near $209.00 in Saint Joseph, MO (cash-pay accepted, hybrid in-clinic and telehealth video consults, 19-minute average reception wait).
Credentialed as an MD specialist with 11 years post-graduation experience since completing medical school at an LCME/COCA institution (2015), Dr. Balakrishnan coordinates 50 Active CMS HCPCS Codes workups from 5301 Faraon St Ste 210b (+1-812-555-2379).
Compared against Saint Joseph, MO Pulmonary Disease peers
2,292 annual services across 645 beneficiaries
Standard deviations from MO 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 | 940 | 12th | $129 – $177 |
| 94060 | Pre- & Post-Bronchodilator Spirometry Airflow Evaluation | 527 | 12th | $84 – $115 |
| 94729 | Alveolar Carbon Monoxide Diffusing Capacity (DLCO) | 390 | 12th | $76 – $104 |
| 95810 | Attended Sleep Apnea Polysomnography Interpretation | 252 | 12th | $235 – $322 |
| 99204 | Comprehensive New Patient Respiratory & Sleep Workup | 183 | 12th | $182 – $249 |
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Dr. Gautam Balakrishnan, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Balakrishnan National Provider Identifier | NPI #1609214519 (MD) | CMS NPPES Registry (64506) |
| Dr. Balakrishnan Saint Joseph CMS Volume Rank | 0.00th Pct (2,292 CMS svcs; Z +0.209σ) | CMS Medicare Part B (MO Pulmonary Disease) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Saint Joseph, MO) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.80/5 Listening • 4.69/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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