Active NPI 1073741625 Individual Practitioner Male Practitioner

Dr. Paul R Balash , MD

Surgery • Oak Lawn, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Paul Balash, MD is a certified Surgery practicing in Oak Lawn, IL. With approximately 17 years of clinical experience since graduating from Rush Medical College Of Rush University in 2009, Dr. Balash delivers high-quality medical care to the local community at 4400 W 95TH ST STE 413.

Dr. Balash is affiliated with Advocate Health And Hospitals Corporation and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, initial hospital care with straightforward or low-level medical decision making, if using time, at least, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4400 W 95th St Ste 413

Oak Lawn, IL 604532662

Telephone 7083464055

Fax 7084990948

Associated Practice Facility / Clinic

🏢 Midwest Surgical Group Sc Facility NPI 1407945207

Medicare Profile & Education

Medical School

Rush Medical College Of Rush University

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Oak Lawn, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -8.3 yrs vs City Avg

City Avg: 25.3 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

20 Specialists

Practicing in Oak Lawn, IL (1624 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Balash (17 Years) 17 Yrs

Oak Lawn Specialty Average (25.3 Years) 25.3 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
99231 Follow-up hospital inpatient care per day, typically 15 minutes	115	56	$128.00	$51.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	88	84	$316.24	$134.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$370.00	$172.52
99213 Established patient office or other outpatient visit, typically 15 minutes	66	50	$197.10	$90.67
36415 Insertion of needle into vein for collection of blood sample	23	23	$22.00	$8.65
49650 Repair of groin hernia using an endoscope	22	22	$2910.55	$514.32
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$5034.91	$738.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	221	70	$121.00	$51.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	111	93	$300.93	$134.76
99213 Established patient office or other outpatient visit, typically 15 minutes	54	43	$178.00	$89.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$352.00	$175.16
36415 Insertion of needle into vein for collection of blood sample	19	18	$22.00	$8.40
49650 Repair of groin hernia using an endoscope	13	13	$2717.54	$490.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$259.00	$115.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	126	57	$121.00	$40.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	96	89	$303.22	$140.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$352.00	$178.84
99213 Established patient office or other outpatient visit, typically 15 minutes	26	25	$161.00	$96.27
49650 Repair of groin hernia using an endoscope	11	11	$2609.45	$511.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	190	86	$121.00	$40.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	149	143	$302.77	$142.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$341.00	$181.05
99213 Established patient office or other outpatient visit, typically 15 minutes	32	28	$153.00	$97.92
49650 Repair of groin hernia using an endoscope	15	15	$2796.80	$519.21
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$5016.67	$805.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	140	74	$121.00	$41.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	107	104	$301.93	$143.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$341.00	$162.28
99213 Established patient office or other outpatient visit, typically 15 minutes	27	21	$146.00	$77.97
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	14	$168.00	$77.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$437.00	$217.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	174	82	$121.00	$42.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	122	114	$297.87	$146.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$341.00	$175.85
99213 Established patient office or other outpatient visit, typically 15 minutes	22	19	$146.00	$75.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$213.00	$115.06
47562 Removal of gallbladder using an endoscope	14	14	$3960.33	$722.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	11	$102.00	$47.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	127	64	$113.44	$41.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	122	116	$287.80	$145.12
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$143.91	$76.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$317.19	$175.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$201.92	$113.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	172	97	$105.00	$41.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	103	101	$273.98	$145.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$291.00	$171.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	36	$189.00	$113.03
47562 Removal of gallbladder using an endoscope	20	20	$3836.70	$714.86
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$134.00	$76.95

Medical Specialties & State Licenses

CMS Verified: 2021-12-10

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036129228

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Advocate Health And Hospitals Corporation

214 Mchenry Rd, Buffalo Grove, IL 600896748

Phone: 8474591160

Advocate Health And Hospitals Corporation

4440 W 95th St, Oak Lawn, IL 604532600

Advocate Health And Hospitals Corporation

18210 S Lagrange Rd, Tinley Park, IL 604877725

Phone: 7084796636

Advocate Health And Hospitals Corporation

10837 S Cicero Ave, Oak Lawn, IL 604536459

Phone: 7086367575

Advocate Health And Hospitals Corporation

9555 S 52nd Ave, Oak Lawn, IL 604533054

Phone: 7086340950

Practice Associates & Co-Workers

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

17 Associated Practitioners

Dr. Rodney Thill , MD

Surgery

NPI 1174620157

Doctor of Medicine (M.D.)

Bridget Mcginnis , PA-C

Physician Assistant

NPI 1215055413

Physician Assistant (Certified)

Dr. George Mesleh , MD

Surgery

NPI 1225127020

Doctor of Medicine (M.D.)

Sarah Manning , PA-C

Physician Assistant

NPI 1255878518

Physician Assistant (Certified)

Rebecca Levy , PA

Physician Assistant

NPI 1265539241

Physician Assistant

Dr. William Hopkins , MD

Surgery

NPI 1316036114

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Business Mailing Address April 21, 2020

Registered at 4400 W 95TH ST STE 413, OAK LAWN, IL 604532662 (Tel: 7083464055)

📍

Updated Practice Location March 28, 2020

Registered at 4400 W 95TH ST STE 413, OAK LAWN, IL 604532662 (Tel: 7083464055)

📍

Updated Business Mailing Address March 28, 2020

Registered at 1104 HICKORY DR, WESTERN SPRINGS, IL 605585015 (Tel: 6304525111)

✅

NPI Profile Active September 02, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location September 02, 2014

Registered at 2160 S 1ST AVE, DEPT SURGERY 3RD FLOOR RM 3210, MAYWOOD, IL 601533328 (Tel: 7083273041)

📍

Updated Business Mailing Address September 02, 2014

Registered at 2160 S 1ST AVE, DEPT SURGERY 3RD FLOOR RM 3210, MAYWOOD, IL 601533328 (Tel: 7083273041)

👤

Provider Name / Credentials Updated September 02, 2014

Recorded as PAUL BALASH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2014

Surgery (License #036129228 in IL)

🟢

Initial NPI Registration & Enumeration June 22, 2009

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: 1073741625

Entity Type:

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

Enumeration Date: June 22, 2009

Last Update: December 10, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4400 W 95th St Ste 413

Oak Lawn, IL 604532662

Phone: 7083464055

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.