Physician
Balanced Family Health Care, INC
Balanced Family Health Care, INC was paid $15K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 84% of everything it billed.
33Billing provider infoBALANCED FAMILY HEALTH CARE, INC
ANDALUSIA, AL 36420
ANDALUSIA, AL 36420
33aNPI1164481644assigned 03/22/2006
33bProvider typeFamily Medicine Physician
28Total paid$15K
24GClaims3,525
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Alabama
Rank by total paid#294 of 455
Median peer was paid$57K
This provider vs. median0.3×
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 | 926 | $2K | |
| 2019 | 786 | $3K | |
| 2020 | 369 | $2K | |
| 2021 | 154 | $2K | |
| 2022 | 312 | $2K | |
| 2023 | 362 | $1K | |
| 2024incomplete | 616 | $2K |
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 | 84% | 777 | 705 | $12K |
| 99223 | Prolong inpt eval add15 m | 3.8% | 23 | 19 | $554.76 |
| 99310 | Prolong nursin fac eval 15m | 3.8% | 62 | 56 | $553.01 |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.1% | 23 | 13 | $445.97 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 2.3% | 77 | 65 | $335.19 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.5% | 29 | 24 | $216.11 |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.3% | 20 | 13 | $189.28 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 927 | 888 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 312 | 305 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 131 | 125 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 13 | 13 | $0.00 |
| 99080 | 0% | 12 | 12 | $0.00 |
4 more codes
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 officialSMITH, JOANNE (PRESIDENT)