Balerdi, M Aurora

Balerdi, M Aurora was paid $79K by Medicaid between Aug 2018 and Oct 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.

33Billing provider infoBALERDI, M AURORA
PAWTUCKET, RI 02860

33aNPI1447582135assigned 02/04/2010

33bProvider typeInternal Medicine Physician

28Total paid$79K

24GClaims1,583

24DCodes billed11

24AFirst – last monthAug 2018 – Oct 2024

Compared with peers

Next to other Internal Medicine Physician providers in Rhode Island

Rank by total paid#96 of 386

Median peer was paid$15K

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.

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	450	$26K
2019	580	$24K
2020	456	$23K
2023	41	$3K
2024incomplete	56	$3K

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	44%	710	617	$35K
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	40%	486	442	$31K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	7.5%	70	65	$6K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	5.1%	45	41	$4K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	2.4%	17	17	$2K
93000		<1%	31	30	$511.49
96127		<1%	115	109	$301.69
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	27	24	$295.65
71046	Radiologic examination, chest; 2 views	<1%	13	13	$259.09
81002		<1%	51	49	$117.56
82044		<1%	18	18	$48.24

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.