Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Balance and Ear Center, INC

Balance and Ear Center, INC was paid $229K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.

33Billing provider infoBALANCE AND EAR CENTER, INC
RICHMOND, VA 23233
33aNPI1215961644assigned 07/10/2006
33bProvider typeSpecialist
28Total paid$229K
24GClaims5,913
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Specialist providers in Virginia

Rank by total paid#61 of 231
Median peer was paid$47K
This provider vs. median4.9×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2018252$6K
2019530$18K
2020634$19K
2021896$26K
20221,316$50K
20231,643$64K
2024incomplete642$47K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 35% 1,996 1,704 $80K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 21% 666 572 $49K
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 21% 785 683 $47K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 9.9% 434 367 $23K
92553 7.9% 826 714 $18K
92567 4.3% 1,050 912 $10K
92557 <1% 67 65 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 14 12 $385.55
99072 <1% 75 67 $41.25

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 officialSHAIA, WAYNE (PRESIDENT)