Physician
Balhara Internal Medicine Associates PC
Balhara Internal Medicine Associates PC was paid $31K by Medicaid between Jan 2018 and Oct 2023, across 14 billing codes. Its largest line is 99310, Prolong nursin fac eval 15m — 51% of everything it billed.
33Billing provider infoBALHARA INTERNAL MEDICINE ASSOCIATES PC
CHAMBERSBURG, PA 17201
CHAMBERSBURG, PA 17201
33aNPI1447264742assigned 07/29/2006
33bProvider typeInternal Medicine Physician
28Total paid$31K
24GClaims2,473
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other Internal Medicine Physician providers in Pennsylvania
Rank by total paid#451 of 1,726
Median peer was paid$6K
This provider vs. median4.7×
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 | 721 | $3K | |
| 2019 | 904 | $7K | |
| 2020 | 174 | $1K | |
| 2021 | 229 | $3K | |
| 2022 | 171 | $7K | |
| 2023 | 274 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99310 | Prolong nursin fac eval 15m | 51% | 1,732 | 1,606 | $16K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 30% | 160 | 138 | $9K |
| 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 | 17% | 131 | 121 | $5K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.3% | 74 | 56 | $403.15 |
| 1111F | 0% | 31 | 25 | $0.00 | |
| 3008F | 0% | 45 | 41 | $0.00 | |
| 3017F | 0% | 31 | 25 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 30 | 24 | $0.00 |
| 0518F | 0% | 31 | 25 | $0.00 | |
| 3288F | 0% | 31 | 25 | $0.00 | |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans | 0% | 102 | 42 | $0.00 |
| 4040F | 0% | 31 | 25 | $0.00 |
2 more codes
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 officialBALHARA, YOGINDRA (DOCTOR)