Dr. David Balaban, MD
1139 E High St, Charlottesville, VA 22902 • +1-855-555-3907
Medical Education: Accredited U.S. Medical School (Class of 1994)
What This Doctor Actually Performs: CMS Medicare Utilization & Charlottesville Percentiles
NPI #1225035959 • CBSA Regional • Gastroenterology
Dr. David Balaban, MD (NPI #1225035959) practices Gastroenterology in Charlottesville, VA (22902) with sub-specialty concentration in 29 Active CMS HCPCS Codes, recording 1,255 annual CMS services across 886 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (85th Charlottesville percentile) (-0.36σ vs VA state mean, 55.07th statewide percentile).
Procedural volume for Dr. Balaban is led by HCPCS 99214 (Established Gastroenterology, GERD & IBD Evaluation — 464 annual services, $292–$400 GPCI cash estimate), followed by CPT 45380 (Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy, 314/yr) and CPT 43239 (Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy, 264/yr).
Self-pay new patient consultations with Dr. Balaban (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 15-minute average reception wait, and a 4.89/5 modern protocol openness score across 11 patient logs.
Credentialed as an MD specialist with 32 years post-graduation experience since completing medical school at an LCME/COCA institution (1994), Dr. Balaban coordinates 29 Active CMS HCPCS Codes workups from 1139 E High St (+1-855-555-3907).
Compared against Charlottesville, VA Gastroenterology peers
1,255 annual services across 886 beneficiaries
Standard deviations from VA 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 | 464 | 85th | $292 – $400 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 314 | 84th | $704 – $965 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 264 | 86th | $584 – $801 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 126 | 84th | $784 – $1074 |
| 99204 | New Patient Digestive & Hepatology Consultation | 88 | 90th | $412 – $564 |
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Dr. David Balaban, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Balaban National Provider Identifier | NPI #1225035959 (MD) | CMS NPPES Registry (22902) |
| Dr. Balaban Charlottesville CMS Volume Rank | 85.00th Pct (1,255 CMS svcs; Z -0.361σ) | CMS Medicare Part B (VA Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Charlottesville, VA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 15 min lobby wait | 11 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.89/5 Listening • 4.89/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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