Dr. Marshall Balk, MD
6001 Stonewood DR, Wexford, PA 15090 • +1-612-555-5649
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & Wexford Percentiles
NPI #1730141342 • CBSA Regional • Orthopedic Surgery
Anchored in Wexford, PA 15090, Dr. Marshall Balk, MD (NPI 1730141342) logged 2,208 annual procedures (focused low-volume boutique caseload (20th Wexford percentile), 40.06th PA percentile, -0.44σ) with sub-specialty concentration in 89 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Balk (averaging 6.1 services per beneficiary), 99213 (Focused Orthopedic Joint & Spine Mobility Evaluation) represents 24% of tracked volume (539 encounters), paired with 20610 (404x).
Direct cash-pay transparency modeling sets Dr. Balk's baseline new-consult rate near $209.00 in Wexford, PA (cash-pay accepted, in-person clinic visits only, 22-minute average reception wait).
Patients evaluating Dr. Marshall Balk in ZIP 15090 note 28 years of post-doctoral tenure (null, 1998) alongside 6.1 annual CMS procedures per patient.
Compared against Wexford, PA Orthopedic Surgery peers
2,208 annual services across 363 beneficiaries
Standard deviations from PA 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 | 539 | 20th | $104 – $142 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 404 | 25th | $111 – $152 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 284 | 20th | $62 – $85 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 165 | 15th | $149 – $204 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 105 | 16th | $960 – $1315 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (89 HCPCS billing breadth) | 711 | 20th | $117 – $170 |
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Dr. Marshall Balk, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Balk National Provider Identifier | NPI #1730141342 (MD) | CMS NPPES Registry (15090) |
| Dr. Balk Wexford CMS Volume Rank | 20.00th Pct (2,208 CMS svcs; Z -0.438σ) | CMS Medicare Part B (PA Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Wexford, PA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 22 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.63/5 Listening • 4.42/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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