Nancy a Balin MD F a C S

Nancy a Balin MD F a C S was paid $168K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 37% of everything it billed.

33Billing provider infoNANCY A BALIN MD F A C S
NORTHAMPTON, MA 01062

33aNPI1033114103assigned 06/16/2005

33bProvider typeOphthalmology Physician

28Total paid$168K

24GClaims6,154

24DCodes billed9

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Ophthalmology Physician providers in Massachusetts

Rank by total paid#40 of 203

Median peer was paid$18K

This provider vs. median9.4×

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
2018	1,156	$25K
2019	998	$23K
2020	437	$9K
2021	942	$25K
2022	1,106	$29K
2023	653	$20K
2024incomplete	862	$38K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	37%	1,570	1,557	$62K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	24%	576	572	$40K
92015	Determination of refractive state	20%	2,664	2,652	$33K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	13%	585	544	$22K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.1%	422	376	$8K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	55	37	$945.26
92133		<1%	26	24	$528.67
92136		<1%	28	13	$241.22
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	228	222	$0.00

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.

From NPPES

Who's on the registration

Authorized officialBALIN, NANCY (OWNER)