Active NPI 1306253273 Individual Practitioner Male Practitioner

Brandon Balabus , PA

Physician Assistant • Bronx, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Brandon Balabus, PA is a certified Physician Assistant practicing in Bronx, NY. With approximately 12 years of clinical experience since completing medical education in 2014, Brandon Balabus delivers high-quality medical care to the local community at 111 E 210TH ST.

Brandon Balabus is affiliated with North Shore Lij Urgent Care Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include residence visit for established patient with low level of medical decision making, per day, if using time, at least, established patient outpatient office visit, 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

111 E 210th St

Bronx, NY 104672401

Telephone 5167120706

Associated Practice Facility / Clinic

🏢 Metcare Rx Mcp Pharmaceutical Services, Llc Facility NPI 1255364824

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bronx, NY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs +1.7 yrs vs City Avg

City Avg: 10.3 Yrs

State Avg: 12.0 Yrs

Regional Practice Density

1033 Specialists

Practicing in Bronx, NY (15701 Statewide)

Telehealth Adoption Rate

5.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Balabus (12 Years) 12 Yrs

Bronx Specialty Average (10.3 Years) 10.3 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
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	301	88	$100.00	$71.96
99213 Established patient office or other outpatient visit, typically 15 minutes	106	95	$585.00	$89.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$575.00	$111.07
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	46	45	$41.38	$40.55
81003 Automated urinalysis test	30	28	$8.00	$2.20
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$550.00	$71.49
99497 Advance care planning, first 30 minutes	26	20	$150.00	$78.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$610.00	$125.94
87804 Detection test by immunoassay with direct visual observation for influenza virus	21	21	$45.00	$16.22
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	19	19	$32.00	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	361	118	$222.19	$73.65
99213 Established patient office or other outpatient visit, typically 15 minutes	66	58	$585.00	$89.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$575.00	$112.15
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	50	19	$270.00	$83.28
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	32	28	$151.00	$50.28
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$550.00	$72.70
99443 Telephone medical discussion with physician, 21-30 minutes	20	16	$227.50	$123.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$610.00	$119.00
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	17	17	$41.38	$40.55
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	16	16	$200.00	$127.67
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	15	15	$32.00	$16.20
81003 Automated urinalysis test	13	13	$8.00	$2.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$600.00	$166.42
99497 Advance care planning, first 30 minutes	11	11	$209.09	$81.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99335 Established patient assisted living visit, typically 25 minutes	464	121	$205.00	$94.18
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	286	278	$151.00	$50.62
99213 Established patient office or other outpatient visit, typically 15 minutes	224	224	$585.00	$93.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	156	149	$560.00	$59.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	93	93	$575.00	$117.13
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	73	32	$300.00	$86.10
99202 New patient office or other outpatient visit, typically 20 minutes	71	71	$550.00	$76.09
99336 Established patient assisted living visit, typically 40 minutes	51	21	$235.00	$133.98
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	50	49	$41.38	$40.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	36	$610.00	$129.52
81003 Automated urinalysis test	34	34	$8.00	$2.21
87804 Detection test by immunoassay with direct visual observation for influenza virus	17	17	$39.65	$16.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$600.00	$173.05
99497 Advance care planning, first 30 minutes	11	11	$250.00	$85.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	269	268	$151.00	$51.31
99213 Established patient office or other outpatient visit, typically 15 minutes	174	171	$356.57	$94.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	161	157	$314.53	$58.45
99202 New patient office or other outpatient visit, typically 20 minutes	98	98	$334.18	$77.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	81	81	$382.41	$117.86
99335 Established patient assisted living visit, typically 25 minutes	80	50	$205.00	$95.85
81003 Automated urinalysis test	27	27	$8.00	$2.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$458.33	$126.55
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	18	18	$41.38	$41.38
0011A Adm sarscov2 100mcg/0.5ml1st	16	16	$16.94	$16.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	112	$400.00	$110.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	105	105	$375.00	$111.19
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	78	78	$151.00	$51.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	75	73	$300.00	$47.67
99213 Established patient office or other outpatient visit, typically 15 minutes	68	67	$350.00	$77.15
99202 New patient office or other outpatient visit, typically 20 minutes	59	59	$325.00	$79.23
99201 New patient office or other outpatient visit, typically 10 minutes	51	51	$275.00	$48.04
36415 Insertion of needle into vein for collection of blood sample	24	24	$8.00	$3.00
93000 Routine ekg using at least 12 leads including interpretation and report	16	16	$52.00	$17.90
71046 X-ray of chest, 2 views	15	13	$99.00	$13.04
G0008 Administration of influenza virus vaccine	12	12	$27.25	$19.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	180	177	$400.00	$105.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	138	138	$375.00	$107.84
99213 Established patient office or other outpatient visit, typically 15 minutes	48	48	$350.00	$73.23
81003 Automated urinalysis test	46	44	$8.52	$2.44
71046 X-ray of chest, 2 views	21	21	$99.00	$10.48
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$52.00	$17.18
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	14	14	$32.00	$16.20
87804 Detection test by immunoassay with direct visual observation for influenza virus	12	12	$32.00	$16.22
90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)	11	11	$46.00	$32.13
90471 Administration of 1 vaccine	11	11	$81.00	$16.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	126	126	$375.00	$108.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	117	$400.00	$105.15
99213 Established patient office or other outpatient visit, typically 15 minutes	28	28	$350.00	$72.01
81003 Automated urinalysis test	25	24	$8.00	$2.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	98	98	$375.00	$107.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	66	$400.00	$103.29
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$350.00	$71.94
81003 Automated urinalysis test	18	18	$8.00	$3.02

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 017725

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

North Shore Lij Urgent Care Pc

603 E Main St, Bay Shore, NY 117068505

Phone: 6312383064

North Shore Lij Urgent Care Pc

1950 Jericho Tpke, East Northport, NY 117316207

Phone: 6312383065

North Shore Lij Urgent Care Pc

600 N Wellwood Ave, Lindenhurst, NY 117572000

Phone: 6314128903

North Shore Lij Urgent Care Pc

377 S Oyster Bay Rd, Plainview, NY 118033323

Phone: 5165379061

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Madhu Sharma , MD

Pediatrics - Pediatric Cardiology

NPI 1003003880

Doctor of Medicine (M.D.)

Dr. Amanda Jacobs , MD

Pediatrics - Adolescent Medicine

NPI 1003016411

Doctor of Medicine (M.D.)

Dr. Heather Root , MD

Internal Medicine - Infectious Disease

NPI 1003202268

Doctor of Medicine (M.D.)

Dr. Michael Gottesman , MD

Radiology - Diagnostic Neuroimaging

NPI 1003203910

Doctor of Medicine (M.D.)

Dr. Jiae Lee , MD

Psychiatry & Neurology - Neurology

NPI 1003262916

Doctor of Medicine (M.D.)

Dr. Michelle Pintea , MD

Pediatrics

NPI 1003340456

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 12, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 12, 2014

Registered at 111 E 210TH ST, BRONX, NY 104672401 (Tel: 5167120706)

📍

Updated Business Mailing Address July 12, 2014

Registered at 71 BOYD ST, LONG BEACH, NY 115612516 (Tel: 5167120706)

👤

Provider Name / Credentials Updated July 12, 2014

Recorded as BRANDON BALABUS, P.A.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2014

Physician Assistant (License #017725 in NY)

🟢

Initial NPI Registration & Enumeration July 12, 2014

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: 1306253273

Entity Type:

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

Enumeration Date: July 12, 2014

Last Update: July 12, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

71 Boyd St

Long Beach, NY 115612516

Phone: 5167120706

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.