Dr. Merhala Balasubramaniam, MD
1401 25th St S, Great Falls, MT 59405 • +1-648-555-2334
Medical Education: Accredited U.S. Medical School (Class of 2014)
What This Doctor Actually Performs: CMS Medicare Utilization & Great Falls Percentiles
NPI #1629450333 • CBSA Regional • Pulmonary Disease
CMS Medicare Part B utilization records credit Dr. Merhala Balasubramaniam (MD, NPI 1629450333) at 1401 25th St S in Great Falls with 821 annual clinical services (268 beneficiaries), corresponding to a -0.47σ regional deviation and focused low-volume boutique caseload (28.57th Great Falls percentile) with sub-specialty concentration in 43 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1629450333 highlights 337 annual claims for 99214 (28.57th Great Falls percentile; $134–$184 self-pay corridor) plus 189 encounters under 94060 and 140 under 94729.
Self-pay new patient consultations with Dr. Balasubramaniam (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 12-minute average reception wait, and a 4.41/5 modern protocol openness score across 16 patient logs.
NPI registry verification (#1629450333) confirms Dr. Merhala Balasubramaniam's MD standing serving CBSA 59405 with a 4.73/5 patient scorecard.
Compared against Great Falls, MT Pulmonary Disease peers
821 annual services across 268 beneficiaries
Standard deviations from MT 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 | 337 | 28.57th | $134 – $184 |
| 94060 | Pre- & Post-Bronchodilator Spirometry Airflow Evaluation | 189 | 30.57th | $88 – $120 |
| 94729 | Alveolar Carbon Monoxide Diffusing Capacity (DLCO) | 140 | 31.57th | $79 – $109 |
| 95810 | Attended Sleep Apnea Polysomnography Interpretation | 90 | 30.57th | $245 – $336 |
| 99204 | Comprehensive New Patient Respiratory & Sleep Workup | 66 | 30.57th | $189 – $259 |
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Dr. Merhala Balasubramaniam, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Balasubramaniam National Provider Identifier | NPI #1629450333 (MD) | CMS NPPES Registry (59405) |
| Dr. Balasubramaniam Great Falls CMS Volume Rank | 28.57th Pct (821 CMS svcs; Z -0.471σ) | CMS Medicare Part B (MT Pulmonary Disease) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Great Falls, MT) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 12 min lobby wait | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.74/5 Listening • 4.41/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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