Balasta, Marguerite

Balasta, Marguerite was paid $24K by Medicaid between Oct 2020 and Feb 2022, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 95% of everything it billed.

33Billing provider infoBALASTA, MARGUERITE
PHILADELPHIA, PA 19104

33aNPI1396034211assigned 03/31/2011

33bProvider typeHospitalist Physician

28Total paid$24K

24GClaims288

24DCodes billed2

24AFirst – last monthOct 2020 – Feb 2022

Compared with peers

Next to other Hospitalist Physician providers in Pennsylvania

Rank by total paid#27 of 130

Median peer was paid$4K

This provider vs. median6.2×

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.

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
2020	34	$3K
2021	209	$17K
2022	45	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	95%	269	264	$23K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.8%	19	19	$1K

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.