Dr. Nicholas Ballay, MD
719 Cook DR, Athens, TN 37303 • +1-848-555-4272
Medical Education: Accredited U.S. Medical School (Class of 2011)
What This Doctor Actually Performs: CMS Medicare Utilization & Athens Percentiles
NPI #1295093052 • CBSA Regional • General Surgery
Statistical peer benchmarking across TN General Surgery providers positions Dr. Nicholas Ballay, MD in Athens at -0.43σ (0th city percentile / 24.19th state percentile, 258 Medicare beneficiaries), with clinical focus spanning 127 Active CMS HCPCS Codes.
Procedural volume for Dr. Ballay is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 351 annual services, $259–$355 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 203/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 101/yr).
For out-of-network patients contacting +1-848-555-4272, Dr. Ballay's practice posts a $201.00 GPCI self-pay consult estimate ($201.00 patient-logged median, 4.56/5 composite reality score over 7 submissions).
Credentialed as an MD specialist with 15 years post-graduation experience since completing medical school at an LCME/COCA institution (2011), Dr. Ballay coordinates 127 Active CMS HCPCS Codes workups from 719 Cook DR (+1-848-555-4272).
Compared against Athens, TN General Surgery peers
779 annual services across 258 beneficiaries
Standard deviations from TN General Surgery 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 | 351 | 12th | $259 – $355 |
| 99213 | Established Preventive & Chronic Care Visit | 203 | 12th | $198 – $272 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 101 | 12th | $95 – $130 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 78 | 12th | $304 – $417 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 47 | 12th | $361 – $495 |
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Dr. Nicholas Ballay, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Ballay National Provider Identifier | NPI #1295093052 (MD) | CMS NPPES Registry (37303) |
| Dr. Ballay Athens CMS Volume Rank | 0.00th Pct (779 CMS svcs; Z -0.435σ) | CMS Medicare Part B (TN General Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $201.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Athens, TN) |
| Waiting-Room Wait Time & Cash Friendliness | $201.00 avg paid • 21 min lobby wait | 7 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.91/5 Listening • 4.64/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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