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Internal Medicine • Lima, OH 45801 • NPI #1083607519

Dr. Pratap Balusu, MD

750 W High St, Ste 250, Lima, OH 45801 • +1-941-555-5072

Medical Education: Accredited U.S. Medical School (Class of 1995)

23 Active CMS HCPCS Codes
4.59/5
Waiting-Room Score
18 patient logs
$209.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Lima Percentiles

NPI #1083607519 • CBSA Regional • Internal Medicine

Dr. Pratap Balusu DotMD Verification Badge

Anchored in Lima, OH 45801, Dr. Pratap Balusu, MD (NPI 1083607519) logged 872 annual procedures (focused low-volume boutique caseload (16.67th Lima percentile), 28.66th OH percentile, -0.26σ) with sub-specialty concentration in 23 Active CMS HCPCS Codes.

Granular CPT/HCPCS billing distribution at 750 W High St, Ste 250 shows Dr. Pratap Balusu's primary concentration in Moderate-to-High Complexity Internal Medicine Follow-Up (code 99214: 392x/yr, 16.67th local percentile) alongside Established Preventive & Chronic Care Visit (99213: 227x/yr, $115–$157).

Self-pay new patient consultations with Dr. Balusu (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 22-minute average reception wait, and a 4.48/5 modern protocol openness score across 18 patient logs.

Patients evaluating Dr. Pratap Balusu in ZIP 45801 note 31 years of post-doctoral tenure (null, 1995) alongside 2.4 annual CMS procedures per patient.

Lima Percentile 16.67th

Compared against Lima, OH Internal Medicine peers

OH State Percentile 28.66th

872 annual services across 369 beneficiaries

Regional Volume Z-Score -0.263σ

Standard deviations from OH 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 392 16.67th $150 – $205
99213 Established Preventive & Chronic Care Visit 227 17.67th $115 – $157
93000 In-Office 12-Lead Resting Electrocardiogram 113 21.67th $55 – $75
G0439 Annual Preventive Wellness & Cardiometabolic Risk Assessment 87 17.67th $176 – $241
99204 Comprehensive New Patient Internal Medicine Diagnostic Visit 52 14.67th $208 – $285
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Dr. Pratap Balusu, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Balusu National Provider Identifier NPI #1083607519 (MD) CMS NPPES Registry (45801)
Dr. Balusu Lima CMS Volume Rank 16.67th Pct (872 CMS svcs; Z -0.263σ) CMS Medicare Part B (OH Internal Medicine)
Fair Cash-Pay New-Patient Benchmark $209.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (Lima, OH)
Waiting-Room Wait Time & Cash Friendliness $209.00 avg paid • 22 min lobby wait 18 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.89/5 Listening • 4.48/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
22 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $209.00
Listens Without Rushing
4.89/5
Patient communication rating
Modern Protocol Openness
4.48/5
Preventive labs, GLP-1s & HRT
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