Balaban, Lori

Balaban, Lori was paid $19K by Medicaid between Jan 2018 and Oct 2018, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.

33Billing provider infoBALABAN, LORI
CHARLOTTESVILLE, VA 22902

33aNPI1447232905assigned 11/18/2005

33bProvider typePediatrics Physician

28Total paid$19K

24GClaims522

24DCodes billed8

24AFirst – last monthJan 2018 – Oct 2018

Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#487 of 817

Median peer was paid$29K

This provider vs. median0.6×

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	522	$19K

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	63%	151	148	$12K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	30%	103	101	$6K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	2.1%	29	28	$397.74
90686		2.0%	34	34	$380.78
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.6%	24	12	$309.06
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	47	47	$49.59
87081		<1%	12	12	$45.96
99051		<1%	122	120	$12.60

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.