Clinic
Balance Medical Care LLC
Balance Medical Care LLC was paid $356K by Medicaid between Mar 2021 and Dec 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.
33Billing provider infoBALANCE MEDICAL CARE LLC
SADDLE BROOK, NJ 07663
SADDLE BROOK, NJ 07663
33aNPI1053801530assigned 05/10/2018
33bProvider typeMedical Specialty Clinic/Center
28Total paid$356K
24GClaims19,534
24DCodes billed16
24AFirst – last monthMar 2021 – Dec 2024
Compared with peers
Next to other Medical Specialty Clinic/Center providers in New Jersey
Rank by total paid#8 of 43
Median peer was paid$26K
This provider vs. median14×
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 | 166 | $2K | |
| 2022 | 3,410 | $81K | |
| 2023 | 10,147 | $149K | |
| 2024incomplete | 5,811 | $124K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 51% | 6,225 | 2,499 | $181K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 4,048 | 1,586 | $93K |
| 99401 | 11% | 5,292 | 1,866 | $39K | |
| 99402 | 6.7% | 690 | 411 | $24K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.1% | 114 | 85 | $8K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.5% | 1,028 | 494 | $6K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 704 | 417 | $2K |
| A4614 | Peak expiratory flow rate meter, hand held | <1% | 170 | 112 | $2K |
| 93000 | <1% | 80 | 56 | $798.63 | |
| 99407 | <1% | 65 | 48 | $648.37 | |
| 96127 | <1% | 116 | 90 | $232.54 | |
| 99174 | <1% | 44 | 37 | $147.96 |
4 more codes
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 officialKAPADIA, RUBY (EXECUTIVE PHYSICIAN)