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Pulmonary Disease • Pittsburgh, PA 15212 • NPI #1306807615

Dr. Marvin Balaan, MD

490 E North Ave, 1suite 300, Pittsburgh, PA 15212 • +1-481-555-4617

Medical Education: Accredited U.S. Medical School (Class of 2016)

33 Active CMS HCPCS Codes
4.65/5
Waiting-Room Score
24 patient logs
$209.00
Fair Cash-Pay Benchmark

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

NPI #1306807615 • CBSA Regional • Pulmonary Disease

Dr. Marvin Balaan DotMD Verification Badge

CMS Medicare Part B utilization records credit Dr. Marvin Balaan (MD, NPI 1306807615) at 490 E North Ave, 1suite 300 in Pittsburgh with 642 annual clinical services (238 beneficiaries), corresponding to a -0.29σ regional deviation and focused low-volume boutique caseload (0th Pittsburgh percentile) with sub-specialty concentration in 33 Active CMS HCPCS Codes.

Dr. Balaan's longitudinal care intensity (2.7 billed units per patient across 238 individuals) centers on 99214 (263 annual units) and 94060 ($91–$124 cash range).

Self-pay new patient consultations with Dr. Balaan (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 14-minute average reception wait, and a 4.88/5 modern protocol openness score across 24 patient logs.

Patients evaluating Dr. Marvin Balaan in ZIP 15212 note 10 years of post-doctoral tenure (null, 2016) alongside 2.7 annual CMS procedures per patient.

Pittsburgh Percentile 0.00th

Compared against Pittsburgh, PA Pulmonary Disease peers

PA State Percentile 1.70th

642 annual services across 238 beneficiaries

Regional Volume Z-Score -0.294σ

Standard deviations from PA Pulmonary Disease 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 Pulmonary, Asthma & COPD Management 263 12th $139 – $190
94060 Pre- & Post-Bronchodilator Spirometry Airflow Evaluation 148 12th $91 – $124
94729 Alveolar Carbon Monoxide Diffusing Capacity (DLCO) 109 12th $82 – $112
95810 Attended Sleep Apnea Polysomnography Interpretation 71 12th $254 – $347
99204 Comprehensive New Patient Respiratory & Sleep Workup 51 12th $196 – $268
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Dr. Marvin Balaan, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Balaan National Provider Identifier NPI #1306807615 (MD) CMS NPPES Registry (15212)
Dr. Balaan Pittsburgh CMS Volume Rank 0.00th Pct (642 CMS svcs; Z -0.294σ) CMS Medicare Part B (PA Pulmonary Disease)
Fair Cash-Pay New-Patient Benchmark $209.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (Pittsburgh, PA)
Waiting-Room Wait Time & Cash Friendliness $209.00 avg paid • 14 min lobby wait 24 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.69/5 Listening • 4.88/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
14 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $209.00
Listens Without Rushing
4.69/5
Patient communication rating
Modern Protocol Openness
4.88/5
Preventive labs, GLP-1s & HRT
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