NP / PA
Total Balance Healthcare, LLC
Total Balance Healthcare, LLC was paid $482K by Medicaid between May 2022 and Dec 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 86% of everything it billed.
33Billing provider infoTOTAL BALANCE HEALTHCARE, LLC
ALBUQUERQUE, NM 87113
ALBUQUERQUE, NM 87113
33aNPI1447906250assigned 03/02/2022
33bProvider typeFamily Nurse Practitioner
28Total paid$482K
24GClaims4,383
24DCodes billed7
24AFirst – last monthMay 2022 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in New Mexico
Rank by total paid#18 of 73
Median peer was paid$90K
This provider vs. median5.3×
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 | |
|---|---|---|---|
| 2022 | 788 | $71K | |
| 2023 | 1,937 | $200K | |
| 2024incomplete | 1,658 | $212K |
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 | 86% | 3,629 | 3,019 | $412K |
| 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 | 8.1% | 253 | 252 | $39K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.7% | 70 | 69 | $13K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 1.5% | 98 | 88 | $7K |
| 93922 | 1.5% | 81 | 81 | $7K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 155 | 138 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 97 | 97 | $425.25 |
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 officialBENAVIDEZ, ANDREA (OWNER)