Balsells, Herberth

Balsells, Herberth was paid $2K by Medicaid between Oct 2021 and Jan 2023, across 3 billing codes. Its largest line is 99236, Prolong inpt eval add15 m — 53% of everything it billed.

33Billing provider infoBALSELLS, HERBERTH
MOUNT KISCO, NY 10549

33aNPI1013216571assigned 03/23/2011

33bProvider typeEmergency Medicine Physician

28Total paid$2K

24GClaims39

24DCodes billed3

24AFirst – last monthOct 2021 – Jan 2023

Compared with peers

Next to other Emergency Medicine Physician providers in New York

Rank by total paid#1,379 of 2,113

Median peer was paid$5K

This provider vs. median0.5×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2021	15	$1K
2022	12	$598.68
2023	12	$495.22

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99236	Prolong inpt eval add15 m	53%	15	15	$1K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	26%	12	12	$598.68
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	21%	12	12	$495.22

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.