Dr. Karen Balonze, MD
31-00 Broadway, Fair Lawn, NJ 07410 • +1-669-555-6971
Medical Education: Accredited U.S. Medical School (Class of 2017)
What This Doctor Actually Performs: CMS Medicare Utilization & Fair Lawn Percentiles
NPI #1023360203 • CBSA Regional • Internal Medicine
Dr. Karen Balonze, MD (NPI #1023360203) practices Internal Medicine in Fair Lawn, NJ (07410) with sub-specialty concentration in 64 Active CMS HCPCS Codes, recording 1,674 annual CMS services across 122 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (28.57th Fair Lawn percentile) (-0.17σ vs NJ state mean, 54.97th statewide percentile).
Procedural volume for Dr. Balonze is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 542 annual services, $80–$110 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 313/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 157/yr).
Uninsured and high-deductible cash patients visiting Dr. Karen Balonze in Fair Lawn (07410) face an estimated $209.00 initial evaluation fee at 31-00 Broadway (hybrid in-clinic and telehealth video consults; 16-minute average reception wait; bedside manner 4.92/5 from 16 verified reports).
Clinical background for Dr. Balonze (MD, NPI #1023360203) includes accredited doctoral training (2017, 9 yrs in practice) and virtual + in-office availability across NJ.
Compared against Fair Lawn, NJ Internal Medicine peers
1,674 annual services across 122 beneficiaries
Standard deviations from NJ 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 | 542 | 28.57th | $80 – $110 |
| 99213 | Established Preventive & Chronic Care Visit | 313 | 29.57th | $62 – $84 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 157 | 26.57th | $29 – $44 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 120 | 30.57th | $94 – $129 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 72 | 29.57th | $112 – $153 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (64 HCPCS billing breadth) | 470 | 28.57th | $73 – $106 |
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Dr. Karen Balonze, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Balonze National Provider Identifier | NPI #1023360203 (MD) | CMS NPPES Registry (07410) |
| Dr. Balonze Fair Lawn CMS Volume Rank | 28.57th Pct (1,674 CMS svcs; Z -0.168σ) | CMS Medicare Part B (NJ Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Fair Lawn, NJ) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 16 min lobby wait | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.92/5 Listening • 4.59/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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