Dr. Mallory Balmer-Swain, DO
1425 Portland Ave, Sands Constellation Heart Institute, Rochester, NY 14621 • +1-247-555-2226
Medical Education: Accredited U.S. Medical School (Class of 1995)
What This Doctor Actually Performs: CMS Medicare Utilization & Rochester Percentiles
NPI #1972731115 • CBSA Regional • Cardiology
Anchored in Rochester, NY 14621, Dr. Mallory Balmer-Swain, DO (NPI 1972731115) logged 649 annual procedures (focused low-volume boutique caseload (0th Rochester percentile), 0.33th NY percentile, -0.63σ) with sub-specialty concentration in 43 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Balmer-Swain (averaging 2.1 services per beneficiary), 99214 (Established Cardiology Consultation & Hemodynamic Review) represents 38% of tracked volume (247 encounters), paired with 93000 (182x).
Uninsured and high-deductible cash patients visiting Dr. Mallory Balmer-Swain in Rochester (14621) face an estimated $232.00 initial evaluation fee at 1425 Portland Ave, Sands Constellation Heart Institute (in-person clinic visits only; 16-minute average reception wait; bedside manner 4.73/5 from 6 verified reports).
Credentialed as an DO specialist with 31 years post-graduation experience since completing medical school at an LCME/COCA institution (1995), Dr. Balmer-Swain coordinates 43 Active CMS HCPCS Codes workups from 1425 Portland Ave, Sands Constellation Heart Institute (+1-247-555-2226).
Compared against Rochester, NY Cardiology peers
649 annual services across 313 beneficiaries
Standard deviations from NY Cardiology 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 Cardiology Consultation & Hemodynamic Review | 247 | 12th | $195 – $268 |
| 93000 | 12-Lead Resting Electrocardiogram (ECG) w/ Interpretation | 182 | 12th | $76 – $105 |
| 93306 | Complete Transthoracic Echocardiography w/ Doppler & Color Flow | 117 | 12th | $365 – $500 |
| 93224 | 24-Hour Ambulatory ECG Rhythm Monitoring & Analysis | 65 | 12th | $229 – $314 |
| 99204 | Comprehensive New Patient Cardiovascular Risk Evaluation | 39 | 12th | $280 – $384 |
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Dr. Mallory Balmer-Swain, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Balmer-Swain National Provider Identifier | NPI #1972731115 (DO) | CMS NPPES Registry (14621) |
| Dr. Balmer-Swain Rochester CMS Volume Rank | 0.00th Pct (649 CMS svcs; Z -0.625σ) | CMS Medicare Part B (NY Cardiology) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Rochester, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 16 min lobby wait | 6 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.73/5 Listening • 4.62/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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