NP / PA
Balfanz, Rebecca
Balfanz, Rebecca was paid $100K by Medicaid between Dec 2020 and Oct 2022, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoBALFANZ, REBECCA
PORT ARTHUR, TX 77642
PORT ARTHUR, TX 77642
33aNPI1316458359assigned 10/17/2017
33bProvider typePediatric Nurse Practitioner
28Total paid$100K
24GClaims4,167
24DCodes billed19
24AFirst – last monthDec 2020 – Oct 2022
Compared with peers
Next to other Pediatric Nurse Practitioner providers in Texas
Rank by total paid#20 of 51
Median peer was paid$10K
This provider vs. median10×
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 | |
|---|---|---|---|
| 2020 | 14 | $528.12 | |
| 2021 | 1,654 | $41K | |
| 2022 | 2,499 | $59K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 54% | 1,550 | 1,288 | $55K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 153 | 152 | $11K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 10% | 1,181 | 427 | $10K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.3% | 106 | 106 | $8K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.6% | 356 | 162 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.9% | 44 | 44 | $4K |
| 90461 | 2.2% | 284 | 242 | $2K | |
| 87428 | 1.8% | 22 | 22 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 107 | 102 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 15 | 15 | $1K |
| 87807 | <1% | 49 | 48 | $570.46 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 16 | 12 | $126.80 |
7 more codes
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.