Dr. Karishma Balani, MD
1235 E Cherokee St, Springfield, MO 65804 • +1-615-555-2761
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & Springfield Percentiles
NPI #1376830646 • CBSA Regional • Hospitalist
Operating out of Springfield, MO (1235 E Cherokee St), Hospitalist clinician Dr. Karishma Balani, MD (accredited MD/DO training, 2016) maintains a upper-quartile active clinical volume (69.23th Springfield percentile) (35.87th MO percentile; Z-score -0.33σ across 835 documented services) with sub-specialty concentration in 11 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Balani (averaging 3.4 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 45% of tracked volume (376 encounters), paired with 99213 (217x).
Uninsured and high-deductible cash patients visiting Dr. Karishma Balani in Springfield (65804) face an estimated $209.00 initial evaluation fee at 1235 E Cherokee St (in-person clinic visits only; 20-minute average reception wait; bedside manner 4.86/5 from 12 verified reports).
NPI registry verification (#1376830646) confirms Dr. Karishma Balani's MD standing serving CBSA 65804 with a 4.93/5 patient scorecard.
Compared against Springfield, MO Hospitalist peers
835 annual services across 246 beneficiaries
Standard deviations from MO 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 | 376 | 69.23th | $151 – $206 |
| 99213 | Established Preventive & Chronic Care Visit | 217 | 71.23th | $115 – $158 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 109 | 67.23th | $55 – $75 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 84 | 74.23th | $177 – $242 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 50 | 68.23th | $209 – $287 |
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Dr. Karishma Balani, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Balani National Provider Identifier | NPI #1376830646 (MD) | CMS NPPES Registry (65804) |
| Dr. Balani Springfield CMS Volume Rank | 69.23th Pct (835 CMS svcs; Z -0.332σ) | CMS Medicare Part B (MO Hospitalist) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Springfield, MO) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 20 min lobby wait | 12 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.86/5 Listening • 4.59/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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