Elsaid Balboul MD PA

Elsaid Balboul MD PA was paid $9K by Medicaid between Jan 2018 and Oct 2024, across 3 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 56% of everything it billed.

33Billing provider infoELSAID BALBOUL MD PA
WAYNE, NJ 07470

33aNPI1265487086assigned 05/23/2006

33bProvider typeInternal Medicine Physician

28Total paid$9K

24GClaims947

24DCodes billed3

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Internal Medicine Physician providers in New Jersey

Rank by total paid#675 of 1,027

Median peer was paid$30K

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	235	$569.32
2019	108	$1K
2021	16	$167.75
2022	51	$259.99
2023	218	$1K
2024incomplete	319	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	56%	723	668	$5K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	37%	65	45	$3K
99308	Subsequent nursing facility care, per day, straightforward	6.5%	159	52	$571.11

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 officialBALBOUL, ELSAID (OWNER)