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Gastroenterology • Mcallen, TX 78504 • NPI #1588866370

Dr. Valeska Balderas, MD

801 E Nolana Ave, Suite 4, Mcallen, TX 78504 • +1-343-555-6852

Medical Education: Accredited U.S. Medical School (Class of 1995)

49 Active CMS HCPCS Codes
4.63/5
Waiting-Room Score
18 patient logs
$209.00
Fair Cash-Pay Benchmark

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

NPI #1588866370 • CBSA Regional • Gastroenterology

Dr. Valeska Balderas DotMD Verification Badge

Dr. Valeska Balderas, MD (NPI #1588866370) practices Gastroenterology in Mcallen, TX (78504) with sub-specialty concentration in 49 Active CMS HCPCS Codes, recording 2,054 annual CMS services across 324 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (50th Mcallen percentile) (-0.16σ vs TX state mean, 64.09th statewide percentile).

Among 5 tracked CMS fee-schedule codes for Dr. Balderas (averaging 6.3 services per beneficiary), 99214 (Established Gastroenterology, GERD & IBD Evaluation) represents 37% of tracked volume (760 encounters), paired with 45380 (514x).

Direct cash-pay transparency modeling sets Dr. Balderas's baseline new-consult rate near $209.00 in Mcallen, TX (cash-pay accepted, in-person clinic visits only, 10-minute average reception wait).

Clinical background for Dr. Balderas (MD, NPI #1588866370) includes accredited doctoral training (1995, 31 yrs in practice) and dedicated on-site consultations at 801 E Nolana Ave, Suite 4.

Mcallen Percentile 50.00th

Compared against Mcallen, TX Gastroenterology peers

TX State Percentile 64.09th

2,054 annual services across 324 beneficiaries

Regional Volume Z-Score -0.159σ

Standard deviations from TX Gastroenterology 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 Gastroenterology, GERD & IBD Evaluation 760 50th $88 – $121
45380 Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy 514 51th $212 – $291
43239 Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy 431 52th $176 – $242
45385 Colonoscopy w/ Snare Polypectomy Lesion Removal 205 46th $236 – $324
99204 New Patient Digestive & Hepatology Consultation 144 55th $124 – $170
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Dr. Valeska Balderas, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Balderas National Provider Identifier NPI #1588866370 (MD) CMS NPPES Registry (78504)
Dr. Balderas Mcallen CMS Volume Rank 50.00th Pct (2,054 CMS svcs; Z -0.159σ) CMS Medicare Part B (TX Gastroenterology)
Fair Cash-Pay New-Patient Benchmark $209.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (Mcallen, TX)
Waiting-Room Wait Time & Cash Friendliness $209.00 avg paid • 10 min lobby wait 18 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.56/5 Listening • 4.80/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
10 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $209.00
Listens Without Rushing
4.56/5
Patient communication rating
Modern Protocol Openness
4.80/5
Preventive labs, GLP-1s & HRT
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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