Dr. Mariel Balboa, DO
15418 Main St Ste 200, Mill Creek, WA 98012 • +1-929-555-8002
Medical Education: Accredited U.S. Medical School (Class of 1992)
What This Doctor Actually Performs: CMS Medicare Utilization & Mill Creek Percentiles
NPI #1326676248 • CBSA Regional • Family Practice
Operating out of Mill Creek, WA (15418 Main St Ste 200), Family Practice clinician Dr. Mariel Balboa, DO (accredited MD/DO training, 1992) maintains a mid-cohort balanced caseload (50th Mill Creek percentile) (53.27th WA percentile; Z-score -0.17σ across 1,268 documented services) with sub-specialty concentration in 76 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Balboa (averaging 7.7 services per beneficiary), 99214 (Comprehensive Primary Care & Chronic Protocol Management) represents 33% of tracked volume (419 encounters), paired with 99213 (309x).
Self-pay new patient consultations with Dr. Balboa (CPT 99204 GPCI-adjusted benchmark) estimate around $222.00 (community reported average: $222.00) with in-person clinic visits only, 10-minute average reception wait, and a 4.59/5 modern protocol openness score across 18 patient logs.
Credentialed as an DO specialist with 34 years post-graduation experience since completing medical school at an LCME/COCA institution (1992), Dr. Balboa coordinates 76 Active CMS HCPCS Codes workups from 15418 Main St Ste 200 (+1-929-555-8002).
Compared against Mill Creek, WA Family Practice peers
1,268 annual services across 164 beneficiaries
Standard deviations from WA Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 419 | 50th | $63 – $86 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 309 | 52th | $48 – $66 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 120 | 55th | $72 – $99 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 90 | 50th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 60 | 51th | $86 – $118 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (76 HCPCS billing breadth) | 271 | 50th | $57 – $83 |
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Dr. Mariel Balboa, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Balboa National Provider Identifier | NPI #1326676248 (DO) | CMS NPPES Registry (98012) |
| Dr. Balboa Mill Creek CMS Volume Rank | 50.00th Pct (1,268 CMS svcs; Z -0.170σ) | CMS Medicare Part B (WA Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $222.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Mill Creek, WA) |
| Waiting-Room Wait Time & Cash Friendliness | $222.00 avg paid • 10 min lobby wait | 18 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.56/5 Listening • 4.59/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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