Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2018243$5K
20191,085$21K
20202,094$44K
20212,861$91K
20223,427$138K
20235,055$166K
2024incomplete2,380$73K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.