Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Carmichael › NPI 1336265164
Physician

Ballelos, Roderick

Ballelos, Roderick was paid $151K by Medicaid between Jan 2018 and Dec 2018, across 6 billing codes. Its largest line is 99285, emergency room visit (most serious) — 72% of everything it billed.

33Billing provider infoBALLELOS, RODERICK
CARMICHAEL, CA 95608
33aNPI1336265164assigned 03/22/2007
28Total paid$151K
24GClaims1,887
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers

Next to other Emergency Medicine Physician providers in California

Rank by total paid#317 of 988
Median peer was paid$32K
This provider vs. median4.8×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20181,887$151K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 72% 722 710 $109K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 21% 310 306 $31K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 5.9% 158 153 $9K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.3% 279 277 $2K
93042 0% 14 14 $0.00
99053 0% 404 391 $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.