Balmforth, Randy

Balmforth, Randy was paid $178K by Medicaid between Jan 2018 and Nov 2024, across 29 billing codes. Its largest line is 73721, Magnetic resonance imaging, any joint of lower extremity; without contrast material — 26% of everything it billed.

33Billing provider infoBALMFORTH, RANDY
GARDEN CITY, MI 48135

33aNPI1366642738assigned 07/23/2007

33bProvider typeDiagnostic Radiology Physician

28Total paid$178K

24GClaims9,167

24DCodes billed29

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Diagnostic Radiology Physician providers in Michigan

Rank by total paid#43 of 139

Median peer was paid$28K

This provider vs. median6.4×

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	2,550	$34K
2019	2,604	$31K
2020	554	$9K
2021	988	$24K
2022	861	$39K
2023	740	$25K
2024incomplete	870	$17K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
73721	Magnetic resonance imaging, any joint of lower extremity; without contrast material	26%	462	429	$46K
70450	Computed tomography, head or brain; without contrast material	17%	600	566	$30K
73221		12%	179	175	$21K
74177	Computed tomography, abdomen and pelvis; with contrast material	9.2%	399	371	$16K
74176	Computed tomography, abdomen and pelvis; without contrast material	7.8%	469	445	$14K
71045	Radiologic examination, chest; single view	6.5%	3,531	2,663	$12K
71046	Radiologic examination, chest; 2 views	3.6%	1,261	1,185	$6K
73630		3.4%	633	584	$6K
71250		2.5%	240	216	$4K
77067	Screening mammography, bilateral, including computer-aided detection	1.8%	122	107	$3K
77063	Screening digital breast tomosynthesis, bilateral	1.4%	121	106	$2K
73610		1.4%	183	176	$2K

17 more codes

73030		1.2%	225	$2K
73562		<1%	174	$2K
70551	Magnetic resonance imaging, brain; without contrast material	<1%	28	$1K
71275	Computed tomographic angiography, chest, with contrast material	<1%	12	$1K
73130		<1%	136	$1K
72148	Magnetic resonance imaging, lumbar spine; without contrast material	<1%	16	$1K
76705	Ultrasound, abdominal, real time with image documentation; limited	<1%	68	$1K
73110		<1%	69	$834.82
76536		<1%	26	$770.24
74018		<1%	70	$334.51
73502		<1%	61	$328.65
76642		<1%	14	$291.34
71260	Computed tomography, thorax, diagnostic; with contrast material	<1%	13	$263.75
72110		<1%	15	$251.41
93970		<1%	13	$243.97
72125	Computed tomography, cervical spine; without contrast material	<1%	12	$190.05
72100		<1%	15	$186.55

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.