Physician
Balance Medical Professional Primary Services PLLC
Balance Medical Professional Primary Services PLLC was paid $99K by Medicaid between Jan 2018 and Nov 2024, across 63 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 34% of everything it billed.
33Billing provider infoBALANCE MEDICAL PROFESSIONAL PRIMARY SERVICES PLLC
BRONX, NY 10456
BRONX, NY 10456
33aNPI1316316789assigned 09/16/2015
33bProvider typeGeriatric Medicine (Family Medicine) Physician
28Total paid$99K
24GClaims84,637
24DCodes billed63
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Geriatric Medicine (Family Medicine) Physician providers in New York
Rank by total paid#11 of 44
Median peer was paid$7K
This provider vs. median14×
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 | 11,210 | $27K | |
| 2019 | 27,035 | $49K | |
| 2020 | 11,159 | $12K | |
| 2021 | 11,268 | $6K | |
| 2022 | 10,173 | $1K | |
| 2023 | 13,379 | $3K | |
| 2024incomplete | 413 | $55.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 34% | 5,589 | 5,103 | $34K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 24% | 679 | 666 | $23K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 2,019 | 1,870 | $22K |
| H0049 | Alcohol and/or drug screening | 3.8% | 689 | 652 | $4K |
| H0001 | Alcohol and/or drug assessment | 3.4% | 2,185 | 2,098 | $3K |
| 3078F | 2.7% | 4,110 | 3,834 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.6% | 44 | 43 | $3K |
| 3074F | 2.6% | 3,892 | 3,631 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.6% | 243 | 234 | $2K |
| 3077F | <1% | 922 | 885 | $652.00 | |
| 90656 | <1% | 33 | 33 | $454.90 | |
| 3075F | <1% | 315 | 293 | $284.18 |
51 more codes
| 3079F | <1% | 404 | $278.39 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | <1% | 2,149 | $243.60 |
| 1159F | <1% | 5,279 | $208.50 | |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | <1% | 1,106 | $205.85 |
| 1160F | <1% | 4,362 | $200.00 | |
| 3080F | <1% | 262 | $171.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,705 | $124.80 |
| 1126F | <1% | 669 | $110.10 | |
| 3008F | <1% | 8,004 | $84.29 | |
| 2010F | <1% | 6,157 | $84.13 | |
| 99442 | <1% | 41 | $68.53 | |
| 99241 | <1% | 100 | $60.20 | |
| 1125F | <1% | 473 | $41.25 | |
| 97802 | <1% | 443 | $35.99 | |
| 93000 | <1% | 12 | $32.44 | |
| 90756 | <1% | 35 | $27.70 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 82 | $16.40 |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 356 | $10.00 |
| 0001F | 0% | 3,467 | $0.00 | |
| 1036F | 0% | 2,338 | $0.00 | |
| 1031F | 0% | 76 | $0.00 | |
| 3061F | 0% | 366 | $0.00 | |
| 2000F | 0% | 4,930 | $0.00 | |
| 2001F | 0% | 5,594 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,146 | $0.00 |
| 94760 | 0% | 386 | $0.00 | |
| 3048F | 0% | 298 | $0.00 | |
| 1000F | 0% | 2,686 | $0.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 1,040 | $0.00 |
| 3044F | 0% | 470 | $0.00 | |
| 3014F | 0% | 28 | $0.00 | |
| 4293F | 0% | 350 | $0.00 | |
| 3011F | 0% | 170 | $0.00 | |
| 82962 | 0% | 52 | $0.00 | |
| 90686 | 0% | 28 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 13 | $0.00 |
| 3017F | 0% | 77 | $0.00 | |
| 1170F | 0% | 44 | $0.00 | |
| 99441 | 0% | 20 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 916 | $0.00 |
| 3725F | 0% | 3,388 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 853 | $0.00 |
| 99072 | 0% | 178 | $0.00 | |
| 3016F | 0% | 1,960 | $0.00 | |
| 0521F | 0% | 892 | $0.00 | |
| 2028F | 0% | 346 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 29 | $0.00 |
| 3015F | 0% | 39 | $0.00 | |
| 0518F | 0% | 29 | $0.00 | |
| 2022F | 0% | 12 | $0.00 | |
| 1090F | 0% | 57 | $0.00 |
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 officialTALLAJ, RAMON (MD)
| Provider | Location | Paid |
|---|---|---|
| Academy Medical Care PC | New York, NY | $283K |
| A.W Medical Office, P.C | Bronx, NY | $223K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.