NP / PA
Balm of Gilead Healthcare Clinic LLC
Balm of Gilead Healthcare Clinic LLC was paid $9K by Medicaid between Mar 2024 and May 2024, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 76% of everything it billed.
33Billing provider infoBALM OF GILEAD HEALTHCARE CLINIC LLC
EAST GRAND FORKS, MN 56721
EAST GRAND FORKS, MN 56721
33aNPI1154022895assigned 03/10/2023
33bProvider typePrimary Care Nurse Practitioner
28Total paid$9K
24GClaims115
24DCodes billed2
24AFirst – last monthMar 2024 – May 2024
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 | |
|---|---|---|---|
| 2024incomplete | 115 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 76% | 92 | 53 | $6K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 24% | 23 | 13 | $2K |
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.
From NPPES
Who's on the registration
Authorized officialFONDONG, MERIT (NP)