Physician
Ballester, Claudio
Ballester, Claudio was paid $264K by Medicaid between Apr 2019 and Nov 2024, across 9 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 45% of everything it billed.
33Billing provider infoBALLESTER, CLAUDIO
ORANGE, CA 92868
ORANGE, CA 92868
33aNPI1326327552assigned 08/05/2011
33bProvider typeOrthopaedic Surgery Physician
28Total paid$264K
24GClaims4,094
24DCodes billed9
24AFirst – last monthApr 2019 – Nov 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in California
Rank by total paid#69 of 292
Median peer was paid$24K
This provider vs. median11×
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 | 154 | $10K | |
| 2021 | 380 | $18K | |
| 2022 | 910 | $52K | |
| 2023 | 1,453 | $99K | |
| 2024incomplete | 1,197 | $87K |
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 | 45% | 1,370 | 1,247 | $119K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 41% | 1,498 | 1,291 | $108K |
| 20610 | 6.9% | 296 | 243 | $18K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3.6% | 179 | 114 | $10K |
| 99205 | Prolong outpt/office vis | 1.2% | 30 | 18 | $3K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.1% | 30 | 30 | $3K |
| 29705 | 1.0% | 65 | 56 | $3K | |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | <1% | 13 | 13 | $604.50 |
| 99024 | <1% | 613 | 542 | $225.41 |
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.