Ballay, Nicholas

Ballay, Nicholas was paid $3K by Medicaid between Mar 2019 and Apr 2022, across 3 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 72% of everything it billed.

33Billing provider infoBALLAY, NICHOLAS
ATHENS, TN 37303

33aNPI1295093052assigned 04/30/2012

33bProvider typeSurgery Physician

28Total paid$3K

24GClaims107

24DCodes billed3

24AFirst – last monthMar 2019 – Apr 2022

Compared with peers

Next to other Surgery Physician providers in Tennessee

Rank by total paid#59 of 87

Median peer was paid$9K

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
2019	94	$2K
2022	13	$355.35

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	72%	64	53	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	15%	30	25	$432.45
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	12%	13	12	$355.35

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.