Physician
Balestrino, Edward
Balestrino, Edward was paid $17K by Medicaid between Nov 2020 and Aug 2024, across 11 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 68% of everything it billed.
33Billing provider infoBALESTRINO, EDWARD
PETROLIA, PA 16050
PETROLIA, PA 16050
33aNPI1134102627assigned 11/29/2005
33bProvider typeFamily Medicine Physician
28Total paid$17K
24GClaims867
24DCodes billed11
24AFirst – last monthNov 2020 – Aug 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#1,452 of 2,756
Median peer was paid$19K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2020 | 54 | $1K | |
| 2021 | 491 | $6K | |
| 2022 | 206 | $3K | |
| 2023 | 74 | $2K | |
| 2024incomplete | 42 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 68% | 129 | 126 | $11K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 32% | 366 | 297 | $5K |
| 3725F | 0% | 36 | 36 | $0.00 | |
| 3078F | 0% | 32 | 32 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 0% | 25 | 25 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 76 | 76 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 31 | 31 | $0.00 |
| 3008F | 0% | 74 | 74 | $0.00 | |
| 1220F | 0% | 33 | 33 | $0.00 | |
| 3079F | 0% | 16 | 16 | $0.00 | |
| 3074F | 0% | 49 | 49 | $0.00 |
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.