Active NPI 1710090170 Individual Practitioner Male Practitioner

Anthony B Balchunas , PA

Physician Assistant • Waco, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Anthony Balchunas, PA is a certified Physician Assistant practicing in Waco, TX. With approximately 31 years of clinical experience since completing medical education in 1995, Anthony Balchunas delivers high-quality medical care to the local community at 601 W STATE HWY 6.

Anthony Balchunas is affiliated with Providence Health Alliance and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection beneath the skin or into muscle for therapy, diagnosis, or prevention, ultrasound measurement of bladder capacity after voiding. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

601 W State Hwy 6
Ste 105

Waco, TX 767105575

Telephone 2547416113

Fax 2547416629

Associated Practice Facility / Clinic

🏢 Central Texas Urologic Associates, P.a. Facility NPI 1780797183

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Waco, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +18.7 yrs vs City Avg

City Avg: 12.3 Yrs

State Avg: 13.9 Yrs

Regional Practice Density

66 Specialists

Practicing in Waco, TX (11140 Statewide)

Telehealth Adoption Rate

6.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Balchunas (31 Years) 31 Yrs

Waco Specialty Average (12.3 Years) 12.3 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	772	473	$313.23	$101.63
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	553	30	$73.20	$11.46
51798 Ultrasound measurement of bladder capacity after voiding	200	194	$54.75	$10.33
81003 Automated urinalysis test	200	190	$9.24	$2.17
99213 Established patient office or other outpatient visit, typically 15 minutes	41	38	$212.55	$74.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$478.83	$136.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	28,502	41	$0.09	$0.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	761	473	$313.23	$103.18
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	534	49	$73.20	$11.52
51798 Ultrasound measurement of bladder capacity after voiding	220	208	$54.75	$10.10
81003 Automated urinalysis test	216	202	$9.24	$2.15
36415 Insertion of needle into vein for collection of blood sample	42	42	$9.00	$7.80
99213 Established patient office or other outpatient visit, typically 15 minutes	42	36	$212.55	$74.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$478.83	$132.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	72,396	76	$0.09	$0.03
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	824	82	$73.20	$11.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	744	465	$313.23	$104.10
36415 Insertion of needle into vein for collection of blood sample	392	282	$9.00	$2.92
51798 Ultrasound measurement of bladder capacity after voiding	229	217	$54.75	$9.84
81003 Automated urinalysis test	211	194	$9.24	$2.20
99213 Established patient office or other outpatient visit, typically 15 minutes	98	93	$212.55	$74.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$478.83	$137.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$313.98	$92.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	92,782	84	$0.09	$0.03
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	980	82	$73.20	$11.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	775	481	$313.23	$104.42
36415 Insertion of needle into vein for collection of blood sample	413	281	$9.00	$2.94
51798 Ultrasound measurement of bladder capacity after voiding	285	253	$54.75	$9.72
81003 Automated urinalysis test	265	240	$9.24	$2.22
99213 Established patient office or other outpatient visit, typically 15 minutes	110	103	$212.55	$73.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$313.98	$89.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$422.28	$150.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	50,923	101	$0.09	$0.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	817	478	$313.23	$89.56
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	674	66	$73.20	$11.73
36415 Insertion of needle into vein for collection of blood sample	468	332	$9.00	$2.90
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	240	27	$58.26	$19.15
81003 Automated urinalysis test	145	127	$9.24	$2.15
51798 Ultrasound measurement of bladder capacity after voiding	142	131	$54.75	$9.78
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	84	81	$422.28	$121.83
99213 Established patient office or other outpatient visit, typically 15 minutes	47	43	$212.55	$61.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$478.83	$131.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$313.98	$90.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	72,960	117	$0.12	$0.03
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	1,077	123	$44.65	$13.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	859	513	$192.01	$88.18
51798 Ultrasound measurement of bladder capacity after voiding	218	205	$54.96	$11.65
81003 Automated urinalysis test	199	186	$22.78	$2.35
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	138	133	$227.33	$117.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$261.39	$135.41
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$157.33	$60.80
81000 Manual urinalysis test with examination using microscope, non-automated	12	12	$25.00	$3.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	158,720	159	$0.12	$0.02
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	1,514	162	$40.00	$16.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	747	422	$170.00	$86.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	303	270	$220.00	$116.83
51798 Ultrasound measurement of bladder capacity after voiding	186	169	$55.00	$14.58
81003 Automated urinalysis test	175	157	$25.00	$2.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$240.00	$131.86
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$110.00	$59.90
81000 Manual urinalysis test with examination using microscope, non-automated	11	11	$25.00	$3.94
54405 Insertion of multi-component inflatable penile prosthesis	11	11	$540.00	$109.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	159,671	176	$0.12	$0.02
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	1,514	180	$40.00	$20.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	582	355	$170.00	$85.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	302	270	$220.00	$115.95
51798 Ultrasound measurement of bladder capacity after voiding	269	229	$55.00	$17.40
81003 Automated urinalysis test	247	210	$25.00	$2.91
99213 Established patient office or other outpatient visit, typically 15 minutes	115	103	$110.00	$59.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$240.00	$132.55

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA01511

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

Providence Health Alliance

340 Richland W Cir, Waco, TX 767127919

Phone: 2545376050

Providence Health Alliance

301 Richland W Cir, Waco, TX 767127932

Phone: 2545376200

Providence Health Alliance

601 W State Hwy 6 105, Waco, TX 767105592

Phone: 2547416113

Providence Health Alliance

601 W State Hwy 6 101, Waco, TX 767105592

Phone: 2547725454

Providence Health Alliance

601 W Hwy 6 109, Waco, TX 767105592

Phone: 2547519836

Providence Health Alliance

601 W Hwy 6, Waco, TX 767105592

Phone: 2547767744

Providence Health Alliance

342 Richland W Cir, Waco, TX 767127919

Phone: 2545376600

Practice Associates & Co-Workers

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

8 Associated Practitioners

Lanee Teer

Physical Therapist

NPI 1639628373

Sarah Ranzinger , PA-C

Physician Assistant - Medical

NPI 1689729493

Physician Assistant (Certified)

Dr. Stephen Stimson , MD

Specialist

NPI 1699814616

Doctor of Medicine (M.D.)

Dr. Jeffrey Sanders , MD

Urology

NPI 1790898146

Doctor of Medicine (M.D.)

Dr. Timothy Barrett , MD

Specialist

NPI 1861505398

Doctor of Medicine (M.D.)

Dr. Mark Story , MD

Urology

NPI 1902919459

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 March 16, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location March 16, 2009

Registered at 601 W STATE HWY 6, STE 105, WACO, TX 767105575 (Tel: 2547416113)

📍

Updated Business Mailing Address March 16, 2009

Registered at 601 W STATE HWY 6, STE 105, WACO, TX 767105575 (Tel: 2547416113)

👤

Provider Name / Credentials Updated March 16, 2009

Recorded as ANTHONY BALCHUNAS, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2009

Physician Assistant (License #PA01511 in TX)

🟢

Initial NPI Registration & Enumeration August 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1710090170

Entity Type:

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

Enumeration Date: August 17, 2006

Last Update: March 16, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

601 W State Hwy 6, Ste 105

Waco, TX 767105575

Phone: 2547416113

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.