Active NPI 1265884498 Individual Practitioner Male Practitioner

Dr. Eaman Balouch , MD PHD

General Practice • El Segundo, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Eaman Balouch, MD PHD is a certified General Practice practicing in El Segundo, CA. With approximately 8 years of clinical experience since graduating from University Of California, Davis School Of Medicine in 2018, Dr. Balouch delivers high-quality medical care to the local community at 222 N PACIFIC COAST HWY STE 1420.

Dr. Balouch is affiliated with Robert Marriott Medical Corp and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, removal of muscle and/or tissue, removal of muscle and/or tissue, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

222 N Pacific Coast Hwy Ste 1420

El Segundo, CA 902455648

Telephone 3105241305

Associated Practice Facility / Clinic

🏢 Advantage Surgical And Wound Care Texas Pa Facility NPI 1598427403

Medicare Profile & Education

Medical School

University Of California, Davis School Of Medicine

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in El Segundo, CA

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

8 Yrs Matches City Avg

City Avg: 8.0 Yrs

State Avg: 31.1 Yrs

Regional Practice Density

3 Specialists

Practicing in El Segundo, CA (2300 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Balouch (8 Years) 8 Yrs

El Segundo Specialty Average (8.0 Years) 8.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	697	148	$170.00	$78.49
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	394	17	$127.00	$55.33
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	330	80	$170.00	$77.49
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	263	32	$300.00	$236.97
11042 Removal of skin and tissue, 20.0 sq cm or less	246	37	$200.00	$90.18
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	242	15	$60.00	$25.48
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	217	19	$175.00	$117.47
17250 Application of chemical to stop tissue regrowth in wound	199	48	$171.00	$67.02
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	158	36	$300.00	$142.40
11042 Removal of skin and tissue, 20.0 sq cm or less	153	45	$200.00	$48.60
11044 Removal of bone, 20.0 sq cm or less	109	18	$528.00	$230.84
11044 Removal of bone, 20.0 sq cm or less	101	15	$528.00	$332.89
17250 Application of chemical to stop tissue regrowth in wound	99	27	$171.00	$26.91
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	84	13	$127.00	$76.92
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	57	57	$189.00	$83.76
49450 Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast, accessed through the skin	32	18	$1355.00	$674.42
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	21	13	$175.00	$28.96
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	18	18	$189.00	$83.22
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	13	11	$190.00	$113.70
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	12	12	$282.00	$139.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	585	103	$170.00	$78.82
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	336	58	$300.00	$244.71
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	218	78	$170.00	$79.16
11044 Removal of bone, 20.0 sq cm or less	217	27	$528.00	$336.77
11047 Removal of bone, each additional 20.0 sq cm or less	198	13	$228.00	$128.47
11042 Removal of skin and tissue, 20.0 sq cm or less	183	53	$200.00	$107.25
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	180	21	$175.00	$129.44
17250 Application of chemical to stop tissue regrowth in wound	112	34	$171.00	$77.96
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	106	12	$127.00	$56.52
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	104	39	$300.00	$148.90
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	92	91	$189.00	$85.29
11044 Removal of bone, 20.0 sq cm or less	72	16	$528.00	$234.98
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	72	17	$127.00	$78.01
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	58	30	$190.00	$114.18
11042 Removal of skin and tissue, 20.0 sq cm or less	54	25	$200.00	$47.13
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	42	31	$190.00	$113.88
43762 Replacement of stomach stoma tube	40	26	$465.84	$265.37
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	39	39	$189.00	$86.23
17250 Application of chemical to stop tissue regrowth in wound	27	16	$171.00	$29.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	305	43	$170.00	$72.48
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	203	33	$300.00	$231.67
11042 Removal of skin and tissue, 20.0 sq cm or less	148	28	$200.00	$128.35
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	124	12	$127.00	$80.51
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	115	30	$170.00	$72.93
17250 Application of chemical to stop tissue regrowth in wound	90	33	$171.00	$74.90
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	80	12	$127.00	$58.75
11044 Removal of bone, 20.0 sq cm or less	72	16	$528.00	$342.18
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	72	31	$190.00	$97.07
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	71	26	$190.00	$96.99
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	68	16	$180.00	$88.24
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	67	20	$300.00	$161.02
11042 Removal of skin and tissue, 20.0 sq cm or less	41	18	$200.00	$53.67
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	38	38	$189.00	$95.05
43762 Replacement of stomach stoma tube	26	19	$465.84	$276.74
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	26	26	$189.00	$94.70
11044 Removal of bone, 20.0 sq cm or less	23	12	$528.00	$238.94
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	14	11	$93.00	$45.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	52	15	$200.00	$146.26
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	52	18	$190.00	$96.02
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	43	20	$190.00	$96.57
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	41	13	$300.00	$261.29
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	38	14	$170.00	$74.39
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	29	13	$170.00	$73.84
11042 Removal of skin and tissue, 20.0 sq cm or less	18	11	$200.00	$65.24
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	12	12	$189.00	$96.50

Medical Specialties & State Licenses

CMS Verified: 2021-08-01

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA A167007

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Hospital & Practice Group Affiliations

Robert Marriott Medical Corp

120 Bellefontaine St, Pasadena, CA 911053102

Phone: 6267935114

Robert Marriott Medical Corp

150 Bellefontaine St, Pasadena, CA 911053102

Phone: 6267931103

Robert Marriott Medical Corp

222 N Pacific Coast Hwy, El Segundo, CA 902455648

Phone: 8778783289

Robert Marriott Medical Corp

19191 Harvard Ave, Irvine, CA 926124670

Phone: 9498549500

Secondary Practice Locations

5670 Elvas Ave

Sacramento, CA 958193309

Phone: 3104983779

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Kayla Hopkins , APRN

Nurse Practitioner

NPI 1598460032

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Practice Location August 01, 2021

Registered at 222 N PACIFIC COAST HWY STE 1420, EL SEGUNDO, CA 902455648 (Tel: 3105241305)

📍

Updated Business Mailing Address August 01, 2021

Registered at 222 N PACIFIC COAST HWY STE 1420, EL SEGUNDO, CA 902455648 (Tel: 3105241305)

👤

Provider Name / Credentials Updated August 01, 2021

Recorded as EAMAN BALOUCH, MD PHD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2021

General Practice (License #A167007 in CA)

✅

NPI Profile Active July 12, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 12, 2016

Registered at 5670 ELVAS AVE, SACRAMENTO, CA 958193309 (Tel: 3104983779)

📍

Updated Business Mailing Address July 12, 2016

Registered at 5670 ELVAS AVE, SACRAMENTO, CA 958193309

👤

Provider Name / Credentials Updated July 12, 2016

Recorded as EAMAN BALOUCH

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2016

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration July 12, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265884498

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 12, 2016

Last Update: March 07, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

222 N Pacific Coast Hwy Ste 1420

El Segundo, CA 902455648

Phone: 3105241305

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.