Balagna, Terry

Balagna, Terry was paid $380K by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 56% of everything it billed.

33Billing provider infoBALAGNA, TERRY
DECATUR, IL 62526

33aNPI1114022183assigned 09/14/2006

33bProvider typeEmergency Medicine Physician

28Total paid$380K

24GClaims6,346

24DCodes billed4

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#288 of 1,980

Median peer was paid$150K

This provider vs. median2.5×

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	1,054	$40K
2019	1,313	$51K
2020	1,172	$57K
2021	827	$63K
2022	715	$59K
2023	583	$47K
2024incomplete	682	$63K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	56%	2,814	2,642	$211K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	33%	2,448	2,239	$127K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	8.0%	995	887	$30K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	2.9%	89	69	$11K

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.