Balboul, Elsaid

Balboul, Elsaid was paid $87K by Medicaid between Mar 2018 and Mar 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 99% of everything it billed.

33Billing provider infoBALBOUL, ELSAID
WAYNE, NJ 07470

33aNPI1467421339assigned 03/14/2006

33bProvider typeInternal Medicine Physician

28Total paid$87K

24GClaims1,581

24DCodes billed3

24AFirst – last monthMar 2018 – Mar 2024

Compared with peers

Next to other Internal Medicine Physician providers in New Jersey

Rank by total paid#359 of 1,027

Median peer was paid$30K

This provider vs. median2.9×

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	65	$2K
2019	121	$6K
2020	308	$16K
2021	251	$16K
2022	377	$22K
2023	360	$20K
2024incomplete	99	$5K

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	99%	1,540	1,022	$86K
99309	Subsequent nursing facility care, per day, low to moderate complexity	1.1%	15	15	$966.30
36410		<1%	26	13	$155.22

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.