Clinic
Fresenius Medical Care Balboa, LLC
Fresenius Medical Care Balboa, LLC was paid $20.22M by Medicaid between Jan 2018 and Dec 2024, across 65 billing codes. Its largest line is 90999, dialysis (unlisted procedure) — 96% of everything it billed.
33Billing provider infoFRESENIUS MEDICAL CARE BALBOA, LLC
SAN DIEGO, CA 92111
SAN DIEGO, CA 92111
33aNPI1376784389assigned 03/20/2009
33bProvider typeEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
28Total paid$20.22M
24GClaims523,835
24DCodes billed65
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in California
Rank by total paid#7 of 728
Median peer was paid$3.91M
This provider vs. median5.2×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official BLANTON, BARRY controls 20+ related entities in our dataset. Read more
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 | 55,657 | $2.86M | |
| 2019 | 115,121 | $4.64M | |
| 2020 | 54,625 | $2.08M | |
| 2021 | 62,992 | $2.62M | |
| 2022 | 70,121 | $2.66M | |
| 2023 | 90,814 | $2.69M | |
| 2024incomplete | 74,505 | $2.67M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90999 | Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient | 96% | 113,613 | 11,202 | $19.37M |
| 0250 | 1.2% | 39,292 | 3,474 | $237K | |
| A4657 | Syringe, with or without needle, each | <1% | 90,822 | 7,568 | $197K |
| 90945 | <1% | 961 | 37 | $156K | |
| J0604 | Cinacalcet, oral, 1 mg, (for esrd on dialysis) | <1% | 1,891 | 712 | $39K |
| J1756 | Injection, iron sucrose, 1 mg | <1% | 19,039 | 6,089 | $35K |
| J0887 | Injection, epoetin beta, 1 microgram, (for esrd on dialysis) | <1% | 9,609 | 6,510 | $31K |
| 85018 | <1% | 21,737 | 9,160 | $19K | |
| 80051 | <1% | 5,556 | 5,290 | $17K | |
| 83970 | <1% | 8,142 | 7,800 | $14K | |
| 82310 | <1% | 15,829 | 8,988 | $13K | |
| J3490 | Unclassified drugs | <1% | 3,158 | 1,013 | $9K |
53 more codes
| 80069 | <1% | 1,501 | $8K | |
| 84100 | <1% | 14,180 | $7K | |
| J0606 | Injection, etelcalcetide, 0.1 mg | <1% | 144 | $7K |
| 84520 | <1% | 18,213 | $6K | |
| 82565 | <1% | 8,341 | $6K | |
| 83540 | <1% | 10,084 | $5K | |
| 82728 | <1% | 4,755 | $5K | |
| 83550 | <1% | 9,251 | $4K | |
| 84132 | <1% | 8,629 | $4K | |
| 82040 | <1% | 8,566 | $3K | |
| 87340 | <1% | 3,528 | $3K | |
| 85027 | <1% | 4,019 | $3K | |
| J1644 | Injection, heparin sodium, per 1000 units | <1% | 54,360 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 4,090 | $2K |
| G0307 | Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) | <1% | 786 | $1K |
| J1270 | Injection, doxercalciferol, 1 mcg | <1% | 20,815 | $1K |
| 82108 | <1% | 501 | $1K | |
| 84155 | <1% | 4,189 | $1K | |
| 84075 | <1% | 2,277 | $809.14 | |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | <1% | 1,783 | $805.34 |
| 83735 | <1% | 182 | $757.51 | |
| A4913 | Miscellaneous dialysis supplies, not otherwise specified | <1% | 26 | $655.40 |
| 84466 | <1% | 638 | $497.42 | |
| 85045 | <1% | 271 | $490.95 | |
| G0008 | Administration of influenza virus vaccine | <1% | 504 | $408.28 |
| 86706 | <1% | 950 | $148.34 | |
| 90686 | <1% | 148 | $134.63 | |
| 90662 | <1% | 133 | $111.50 | |
| 90739 | <1% | 56 | $107.97 | |
| 82746 | <1% | 79 | $31.49 | |
| G0010 | Administration of hepatitis b vaccine | <1% | 28 | $21.45 |
| 82607 | <1% | 44 | $17.52 | |
| 0012A | <1% | 12 | $14.71 | |
| 90740 | <1% | 12 | $12.96 | |
| 82570 | <1% | 168 | $11.79 | |
| 90682 | <1% | 70 | $10.96 | |
| A6216 | Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 3,569 | $10.30 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 433 | $8.54 |
| 82945 | <1% | 121 | $8.25 | |
| 85046 | <1% | 29 | $6.04 | |
| 90688 | <1% | 208 | $4.21 | |
| 80061 | Lipid panel | <1% | 92 | $4.01 |
| 86803 | <1% | 310 | $1.89 | |
| 84295 | 0% | 2,878 | $0.00 | |
| 82374 | 0% | 2,830 | $0.00 | |
| 90661 | 0% | 21 | $0.00 | |
| 82652 | 0% | 126 | $0.00 | |
| 82947 | 0% | 13 | $0.00 | |
| 90732 | 0% | 12 | $0.00 | |
| 86704 | 0% | 142 | $0.00 | |
| 86580 | 0% | 27 | $0.00 | |
| 90673 | 0% | 29 | $0.00 | |
| 0064A | 0% | 13 | $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 officialBLANTON, BARRY (VICE PRESIDENT)
Parent organizationFRESENIUS MEDICAL CARE HOLDINGS, INC.
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.