Dr. Virginia Balderston, MD
5318 Ranalli DR, Gibsonia, PA 15044 • +1-620-555-6921
Medical Education: Accredited U.S. Medical School (Class of 2015)
What This Doctor Actually Performs: CMS Medicare Utilization & Gibsonia Percentiles
NPI #1487632311 • CBSA Regional • Internal Medicine
Anchored in Gibsonia, PA 15044, Dr. Virginia Balderston, MD (NPI 1487632311) logged 1,146 annual procedures (focused low-volume boutique caseload (33.33th Gibsonia percentile), 44.81th PA percentile, -0.16σ) with sub-specialty concentration in 39 Active CMS HCPCS Codes.
Granular CPT/HCPCS billing distribution at 5318 Ranalli DR shows Dr. Virginia Balderston's primary concentration in Moderate-to-High Complexity Internal Medicine Follow-Up (code 99214: 452x/yr, 33.33th local percentile) alongside Established Preventive & Chronic Care Visit (99213: 261x/yr, $91–$124).
Cash-pay intake data for NPI 1487632311 (5318 Ranalli DR, Gibsonia) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 17-minute average reception wait and 4.74/5 biomarker openness.
From 5318 Ranalli DR in Gibsonia (+1-620-555-6921), Dr. Balderston, MD (11-year clinical track record) delivers 39 Active CMS HCPCS Codes care.
Compared against Gibsonia, PA Internal Medicine peers
1,146 annual services across 261 beneficiaries
Standard deviations from PA 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 | 452 | 33.33th | $118 – $162 |
| 99213 | Established Preventive & Chronic Care Visit | 261 | 37.33th | $91 – $124 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 131 | 32.33th | $43 – $59 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 101 | 29.33th | $139 – $190 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 60 | 38.33th | $165 – $226 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (39 HCPCS billing breadth) | 141 | 33.33th | $107 – $155 |
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Dr. Virginia Balderston, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Balderston National Provider Identifier | NPI #1487632311 (MD) | CMS NPPES Registry (15044) |
| Dr. Balderston Gibsonia CMS Volume Rank | 33.33th Pct (1,146 CMS svcs; Z -0.157σ) | CMS Medicare Part B (PA Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Gibsonia, PA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 17 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.87/5 Listening • 4.74/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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