Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BALANCE MEDICAL PROFESSIONAL PRIMARY SERVICES PLLC

NPI: 1316316789 · BRONX, NY 10456 · Geriatric Medicine (Family Medicine) Physician · NPI assigned 09/16/2015

$99K
Total Medicaid Paid
84,637
Total Claims
77,885
Beneficiaries
63
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTALLAJ, RAMON (MD)
NPI Enumeration Date09/16/2015

Related Entities

Other providers sharing the same authorized official: TALLAJ, RAMON

ProviderCityStateTotal Paid
ACADEMY MEDICAL CARE PC NEW YORK NY $283K
A.W MEDICAL OFFICE, P.C BRONX NY $223K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,210 $27K
2019 27,035 $49K
2020 11,159 $12K
2021 11,268 $6K
2022 10,173 $1K
2023 13,379 $3K
2024 413 $55.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,589 5,103 $34K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 679 666 $23K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,019 1,870 $22K
H0049 Alcohol and/or drug screening 689 652 $4K
H0001 Alcohol and/or drug assessment 2,185 2,098 $3K
3078F 4,110 3,834 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 44 43 $3K
3074F 3,892 3,631 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 243 234 $2K
3077F 922 885 $652.00
90656 33 33 $454.90
3075F 315 293 $284.18
3079F 404 398 $278.39
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 2,149 2,068 $243.60
1159F 5,279 4,801 $208.50
G9820 Documentation of a chlamydia screening test with proper follow-up 1,106 1,037 $205.85
1160F 4,362 4,020 $200.00
3080F 262 244 $171.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,705 1,627 $124.80
1126F 669 587 $110.10
3008F 8,004 6,982 $84.29
2010F 6,157 5,560 $84.13
99442 41 38 $68.53
99241 100 100 $60.20
1125F 473 430 $41.25
97802 443 443 $35.99
93000 12 12 $32.44
90756 35 35 $27.70
36415 Collection of venous blood by venipuncture 82 81 $16.40
H0002 Behavioral health screening to determine eligibility for admission to treatment program 356 356 $10.00
0001F 3,467 2,833 $0.00
1036F 2,338 2,233 $0.00
1031F 76 75 $0.00
3061F 366 364 $0.00
2000F 4,930 4,590 $0.00
2001F 5,594 5,075 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 1,146 1,075 $0.00
94760 386 386 $0.00
3048F 298 297 $0.00
1000F 2,686 2,539 $0.00
G9275 Documentation that patient is a current non-tobacco user 1,040 970 $0.00
3044F 470 462 $0.00
3014F 28 27 $0.00
4293F 350 350 $0.00
3011F 170 168 $0.00
82962 52 49 $0.00
90686 28 27 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13 13 $0.00
3017F 77 76 $0.00
1170F 44 43 $0.00
99441 20 19 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 916 853 $0.00
3725F 3,388 3,127 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 853 735 $0.00
99072 178 178 $0.00
3016F 1,960 1,901 $0.00
0521F 892 755 $0.00
2028F 346 346 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 29 27 $0.00
3015F 39 39 $0.00
0518F 29 26 $0.00
2022F 12 12 $0.00
1090F 57 54 $0.00