Physician
Ballou, Nicolette
Ballou, Nicolette was paid $55K by Medicaid between Jan 2018 and Sep 2021, across 28 billing codes. Its largest line is 96156, — 35% of everything it billed.
33Billing provider infoBALLOU, NICOLETTE
BEVERLY HILLS, CA 90211
BEVERLY HILLS, CA 90211
33aNPI1457420077assigned 11/07/2006
33bProvider typePediatrics Physician
28Total paid$55K
24GClaims7,843
24DCodes billed28
24AFirst – last monthJan 2018 – Sep 2021
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#575 of 1,490
Median peer was paid$15K
This provider vs. median3.7×
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 | 1,398 | $10K | |
| 2019 | 1,323 | $12K | |
| 2020 | 2,748 | $17K | |
| 2021 | 2,374 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96156 | 35% | 715 | 691 | $19K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 23% | 481 | 437 | $13K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 14% | 283 | 265 | $8K |
| 92552 | 7.4% | 718 | 712 | $4K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.4% | 652 | 543 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.7% | 111 | 99 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.4% | 866 | 787 | $1K |
| 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 | 1.8% | 941 | 830 | $1K |
| 99173 | 1.4% | 737 | 733 | $743.34 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 88 | 82 | $601.80 |
| 90686 | <1% | 317 | 302 | $536.26 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 172 | 169 | $359.48 |
16 more codes
| 97802 | <1% | 547 | $318.04 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 119 | $308.97 |
| 90651 | <1% | 134 | $282.00 | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 168 | $181.12 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 41 | $137.78 |
| 90700 | <1% | 43 | $126.00 | |
| 90713 | <1% | 29 | $63.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 13 | $61.95 |
| 90461 | <1% | 27 | $35.40 | |
| 90685 | <1% | 36 | $27.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 31 | $19.55 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 165 | $0.00 |
| A4215 | Needle, sterile, any size, each | 0% | 15 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 168 | $0.00 |
| 99408 | 0% | 214 | $0.00 | |
| 90734 | 0% | 12 | $0.00 |
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.