Physician
Balmaceda, Casilda
Balmaceda, Casilda was paid $537K by Medicaid between Jan 2018 and Oct 2024, across 23 billing codes. Its largest line is 95819, — 28% of everything it billed.
33Billing provider infoBALMACEDA, CASILDA
NEW YORK, NY 10032
NEW YORK, NY 10032
33aNPI1093751919assigned 06/20/2006
33bProvider typeNeurology Physician
28Total paid$537K
24GClaims17,145
24DCodes billed23
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Neurology Physician providers in New York
Rank by total paid#49 of 623
Median peer was paid$9K
This provider vs. median57×
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 | 243 | $5K | |
| 2019 | 1,085 | $21K | |
| 2020 | 2,094 | $44K | |
| 2021 | 2,861 | $91K | |
| 2022 | 3,427 | $138K | |
| 2023 | 5,055 | $166K | |
| 2024incomplete | 2,380 | $73K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95819 | 28% | 1,771 | 1,771 | $150K | |
| 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% | 7,147 | 7,048 | $140K |
| 95886 | 15% | 1,566 | 1,406 | $81K | |
| 95911 | 12% | 1,563 | 1,407 | $67K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.9% | 1,732 | 1,732 | $53K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.1% | 1,094 | 1,074 | $11K |
| 96132 | 1.2% | 317 | 317 | $7K | |
| 99442 | <1% | 421 | 403 | $5K | |
| 93880 | <1% | 229 | 229 | $5K | |
| 95816 | <1% | 39 | 39 | $3K | |
| 96138 | <1% | 429 | 429 | $3K | |
| 93925 | <1% | 120 | 120 | $3K |
11 more codes
| 92546 | <1% | 76 | $1K | |
| 95923 | <1% | 63 | $990.49 | |
| 92542 | <1% | 76 | $696.92 | |
| 92541 | <1% | 76 | $656.22 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $577.89 |
| 96136 | <1% | 89 | $546.30 | |
| 92544 | <1% | 76 | $539.97 | |
| 92545 | <1% | 76 | $505.78 | |
| 92537 | <1% | 76 | $472.44 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 20 | $316.15 |
| 92547 | <1% | 76 | $71.46 |
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.