Active NPI 1588981609 Individual Practitioner Male Practitioner

Dr. Adam Balinger , MD, MHA

Internal Medicine • Seattle, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Adam Balinger, MD, MHA is a certified Internal Medicine practicing in Seattle, WA. With approximately 16 years of clinical experience since graduating from University Of Washington School Of Medicine in 2010, Dr. Balinger delivers high-quality medical care to the local community at 325 9TH AVE.

Dr. Balinger is affiliated with St Lukes Clinic-Treasure Valley Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, hospital discharge day management, more than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

325 9th Ave

Seattle, WA 981042420

Telephone 2067443000

Associated Practice Facility / Clinic

🏢 Harborview Medical Center Facility NPI 1053359729

Medicare Profile & Education

Medical School

University Of Washington School Of Medicine

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Seattle, WA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -4.3 yrs vs City Avg

City Avg: 20.3 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

839 Specialists

Practicing in Seattle, WA (3169 Statewide)

Telehealth Adoption Rate

26.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

55.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Balinger (16 Years) 16 Yrs

Seattle Specialty Average (20.3 Years) 20.3 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	93	45	$154.12	$72.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	47	$387.32	$159.99
99239 Hospital discharge day management, more than 30 minutes	28	28	$223.29	$105.56
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	13	$232.00	$109.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	202	100	$149.99	$74.32
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	82	45	$217.51	$109.97
99239 Hospital discharge day management, more than 30 minutes	71	68	$220.42	$106.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	40	$405.23	$160.21
99238 Hospital discharge day management, 30 minutes or less	11	11	$152.55	$76.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	195	77	$138.80	$66.27
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	77	46	$196.73	$95.14
99239 Hospital discharge day management, more than 30 minutes	43	43	$204.65	$98.55
99225 Subsequent observation care, typically 25 minutes per day	31	16	$143.39	$66.42
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	27	$384.19	$179.41
99217 Hospital observation care on day of discharge	22	22	$141.73	$66.97
99291 Critical care, first 30-74 minutes	14	13	$464.00	$205.06
99220 Hospital observation care, typically 70 minutes	13	13	$353.77	$168.42
99238 Hospital discharge day management, 30 minutes or less	12	12	$139.50	$67.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	145	77	$195.00	$97.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	126	61	$136.00	$68.07
99239 Hospital discharge day management, more than 30 minutes	64	64	$200.00	$100.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	47	$379.00	$186.60
99291 Critical care, first 30-74 minutes	27	18	$464.00	$200.80
99225 Subsequent observation care, typically 25 minutes per day	23	12	$137.00	$68.08
99217 Hospital observation care on day of discharge	11	11	$136.00	$64.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	82	46	$136.00	$66.55
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	53	29	$195.00	$98.81
99239 Hospital discharge day management, more than 30 minutes	28	28	$200.00	$101.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$379.00	$196.70
99238 Hospital discharge day management, 30 minutes or less	12	12	$136.00	$70.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	132	67	$130.67	$69.17
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	61	42	$187.97	$100.21
99239 Hospital discharge day management, more than 30 minutes	25	25	$194.72	$103.07
99238 Hospital discharge day management, 30 minutes or less	17	17	$129.41	$66.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$369.20	$194.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	167	78	$128.00	$68.78
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	65	52	$184.00	$99.04
99239 Hospital discharge day management, more than 30 minutes	43	42	$189.00	$102.17
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	29	$358.00	$188.31
99238 Hospital discharge day management, 30 minutes or less	19	19	$128.00	$66.79
99291 Critical care, first 30-74 minutes	18	11	$474.33	$211.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	225	109	$128.00	$68.51
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	215	135	$184.00	$98.56
99239 Hospital discharge day management, more than 30 minutes	99	97	$189.00	$101.68
99238 Hospital discharge day management, 30 minutes or less	41	41	$128.00	$68.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	33	$358.00	$191.76
99291 Critical care, first 30-74 minutes	26	19	$486.00	$211.46

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License WA MD60306217

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1588981609 (WA)

Hospital & Practice Group Affiliations

St Lukes Clinic-Treasure Valley Llc

100 E Bannock St, Boise, ID 837126241

Phone: 2083812983

St Lukes Clinic-Treasure Valley Llc

610 W Hays St, Boise, ID 837025511

Phone: 2083815970

St Lukes Clinic-Treasure Valley Llc

190 E Bannock St, Boise, ID 837126241

Phone: 2083819384

St Lukes Clinic-Treasure Valley Llc

720 E Park Blvd, Boise, ID 837127764

Phone: 2083813939

St Lukes Clinic-Treasure Valley Llc

520 S Eagle Rd, Meridian, ID 836426351

St Lukes Clinic-Treasure Valley Llc

9580 W St Lukes Dr, Nampa, ID 836877912

Phone: 2085052711

St Lukes Clinic-Treasure Valley Llc

9850 W St Luke's Dr, Nampa, ID 836877912

St Lukes Clinic-Treasure Valley Llc

608 W Hays St, Boise, ID 837025511

Phone: 2083815970

St Lukes Clinic-Treasure Valley Llc

9850 St Lukes Dr, Nampa, ID 836877912

Practice Associates & Co-Workers

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

40 Associated Practitioners

Diane Wheeler , MS, PA-C

Physician Assistant - Medical

NPI 1003045543

Master of Science, Physician Assistant (Certified)

Leslie Enzian

Internal Medicine

NPI 1003992892

Raphaelita Arviso , RC

Counselor

NPI 1013014174

Gabriela Heras , MSW

Social Worker - Clinical

NPI 1013755644

Master of Social Work

Alan Diaz Montoya

Social Worker

NPI 1013773951

Dr. Brandon Golden , MD

Emergency Medicine

NPI 1023631348

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 31, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location July 31, 2013

Registered at 325 9TH AVE, SEATTLE, WA 981042420 (Tel: 2067443000)

📍

Updated Business Mailing Address July 31, 2013

Registered at PO BOX 50095, SEATTLE, WA 981455095 (Tel: 2065436420)

👤

Provider Name / Credentials Updated July 31, 2013

Recorded as ADAM BALINGER, M.D., M.H.A.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2013

Internal Medicine (License #MD60306217 in WA)

🟢

Initial NPI Registration & Enumeration April 29, 2010

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: 1588981609

Entity Type:

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

Enumeration Date: April 29, 2010

Last Update: July 31, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 50095

Seattle, WA 981455095

Phone: 2065436420

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.