Clinic
Bala Family Practice
Bala Family Practice was paid $1.71M by Medicaid between Jan 2018 and Dec 2024, across 74 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoBALA FAMILY PRACTICE
BEL AIR, MD 21015
BEL AIR, MD 21015
33aNPI1386898443assigned 11/14/2008
33bProvider typePrimary Care Clinic/Center
28Total paid$1.71M
24GClaims92,713
24DCodes billed74
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Maryland
Rank by total paid#11 of 112
Median peer was paid$200K
This provider vs. median8.5×
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 | 1,753 | $40K | |
| 2019 | 1,862 | $22K | |
| 2020 | 7,977 | $216K | |
| 2021 | 13,260 | $288K | |
| 2022 | 21,022 | $387K | |
| 2023 | 25,304 | $383K | |
| 2024incomplete | 21,535 | $372K |
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 | 46% | 12,899 | 9,995 | $786K |
| 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 | 33% | 7,329 | 5,571 | $556K |
| 80053 | Comprehensive metabolic panel | 2.2% | 5,613 | 4,699 | $38K |
| 80061 | Lipid panel | 1.8% | 3,544 | 2,961 | $30K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.5% | 5,685 | 4,696 | $25K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 1.4% | 167 | 156 | $24K |
| 93000 | 1.3% | 1,625 | 1,336 | $22K | |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.0% | 2,720 | 2,219 | $18K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,039 | 692 | $15K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 583 | 484 | $13K |
| 84439 | <1% | 1,804 | 1,430 | $13K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 7,474 | 6,074 | $12K |
62 more codes
| 87428 | <1% | 217 | $12K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 81 | $12K |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | <1% | 626 | $12K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 962 | $9K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 91 | $8K |
| 99454 | <1% | 641 | $7K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 671 | $7K |
| 81003 | <1% | 3,318 | $7K | |
| 96127 | <1% | 1,612 | $6K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 49 | $6K |
| 99457 | <1% | 706 | $5K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 166 | $5K |
| 86769 | <1% | 137 | $5K | |
| 3074F | <1% | 4,602 | $5K | |
| G8539 | Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment | <1% | 1,809 | $4K |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 614 | $4K |
| 3008F | <1% | 4,944 | $4K | |
| 96160 | <1% | 1,535 | $4K | |
| 90688 | <1% | 179 | $3K | |
| 3044F | <1% | 1,877 | $3K | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 476 | $3K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 55 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 155 | $2K |
| 3078F | <1% | 3,814 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 18 | $2K |
| 3075F | <1% | 1,751 | $2K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 108 | $2K |
| 99458 | <1% | 123 | $2K | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 205 | $1K |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | <1% | 98 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 59 | $1K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 32 | $1K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 13 | $1K |
| G0008 | Administration of influenza virus vaccine | <1% | 126 | $1K |
| 80050 | General health panel | <1% | 767 | $956.36 |
| 3077F | <1% | 1,614 | $732.00 | |
| 0011A | <1% | 19 | $720.00 | |
| G8482 | Influenza immunization administered or previously received | <1% | 97 | $699.46 |
| 99051 | <1% | 67 | $675.00 | |
| 0012A | <1% | 16 | $600.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 76 | $504.18 |
| 81025 | <1% | 28 | $175.08 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 860 | $170.65 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | <1% | 97 | $103.65 |
| 3015F | <1% | 31 | $60.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 26 | $40.46 |
| 3051F | <1% | 15 | $40.04 | |
| 3079F | <1% | 2,903 | $12.71 | |
| 3080F | <1% | 1,241 | $5.94 | |
| 91301 | <1% | 94 | $0.44 | |
| 3048F | <1% | 1,078 | $0.33 | |
| 3050F | <1% | 225 | $0.08 | |
| 3049F | <1% | 291 | $0.01 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 236 | $0.01 |
| 4274F | <1% | 64 | $0.01 | |
| 1220F | 0% | 137 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 30 | $0.00 |
| 3017F | 0% | 226 | $0.00 | |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | 0% | 14 | $0.00 |
| 3014F | 0% | 14 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 75 | $0.00 |
| 90662 | 0% | 20 | $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 officialBALASUBRAMANIAN, SRIRAM (OWNER)