Medicaid Provider Spending

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

BALGO, TROY

NPI: 1104921949 · ST.CLAIRSVILLE, OH 43950 · Family Medicine Physician · NPI assigned 09/14/2006

$714K
Total Medicaid Paid
42,756
Total Claims
30,966
Beneficiaries
33
Codes Billed
2018-01
First Month
2019-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 20,183 $435K
2019 22,573 $279K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,768 4,281 $236K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 5,921 3,966 $177K
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 5,379 3,397 $169K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 891 830 $13K
80346 1,103 824 $10K
80361 1,113 831 $8K
80362 888 662 $7K
83992 905 684 $5K
80354 1,111 832 $5K
80353 1,106 824 $5K
80358 1,097 820 $5K
80348 1,114 831 $5K
80369 1,109 830 $5K
80365 1,109 829 $5K
80373 1,088 813 $5K
80324 1,108 828 $4K
80359 1,109 829 $4K
80372 1,109 828 $4K
80356 1,110 831 $4K
80349 1,103 826 $4K
80355 952 705 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 54 51 $4K
80360 987 706 $4K
80342 948 702 $4K
80335 1,137 823 $4K
80332 950 704 $4K
80366 883 661 $4K
80323 950 704 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 84 76 $2K
81025 137 98 $2K
80320 143 113 $956.91
80345 144 113 $807.54
80339 146 114 $775.71