Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DAVID S BALLESTAS MD PA

NPI: 1093901282 · PORT CHARLOTTE, FL 33952 · Specialist · NPI assigned 09/20/2007

$3K
Total Medicaid Paid
645
Total Claims
475
Beneficiaries
5
Codes Billed
2018-01
First Month
2022-03
Last Month

Provider Details

Authorized OfficialBALLESTAS, DAVID (OWNER/PRESIDENT)
NPI Enumeration Date09/20/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 47 $220.44
2019 176 $689.32
2020 96 $806.62
2021 312 $740.72
2022 14 $67.05

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 462 323 $2K
0012A 49 39 $76.00
0011A 49 40 $54.14
91301 71 61 $0.00
1170F 14 12 $0.00