Dr. John Balbas, MD
4802 S 109th East Ave, Tulsa, OK 74146 • +1-771-555-8674
Medical Education: Accredited U.S. Medical School (Class of 1993)
What This Doctor Actually Performs: CMS Medicare Utilization & Tulsa Percentiles
NPI #1730201682 • CBSA Regional • Orthopedic Surgery
Statistical peer benchmarking across OK Orthopedic Surgery providers positions Dr. John Balbas, MD in Tulsa at +0.80σ (88.14th city percentile / 89.05th state percentile, 296 Medicare beneficiaries), with clinical focus spanning 61 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Balbas (averaging 25.4 services per beneficiary), 99213 (Focused Orthopedic Joint & Spine Mobility Evaluation) represents 5% of tracked volume (384 encounters), paired with 20610 (288x).
Uninsured and high-deductible cash patients visiting Dr. John Balbas in Tulsa (74146) face an estimated $209.00 initial evaluation fee at 4802 S 109th East Ave (hybrid in-clinic and telehealth video consults; 16-minute average reception wait; bedside manner 4.76/5 from 10 verified reports).
Clinical background for Dr. Balbas (MD, NPI #1730201682) includes accredited doctoral training (1993, 33 yrs in practice) and virtual + in-office availability across OK.
Compared against Tulsa, OK Orthopedic Surgery peers
7,526 annual services across 296 beneficiaries
Standard deviations from OK Orthopedic Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Orthopedic Joint & Spine Mobility Evaluation | 384 | 88.14th | $35 – $50 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 288 | 86.14th | $37 – $52 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 203 | 83.14th | $25 – $40 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 117 | 84.14th | $50 – $68 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 75 | 93.14th | $321 – $440 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (61 HCPCS billing breadth) | 6,459 | 88.14th | $45 – $65 |
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Dr. John Balbas, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Balbas National Provider Identifier | NPI #1730201682 (MD) | CMS NPPES Registry (74146) |
| Dr. Balbas Tulsa CMS Volume Rank | 88.14th Pct (7,526 CMS svcs; Z +0.801σ) | CMS Medicare Part B (OK Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Tulsa, OK) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 16 min lobby wait | 10 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.76/5 Listening • 4.44/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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