Ballard, Darren

Ballard, Darren was paid $228K by Medicaid between Apr 2018 and Jun 2024, across 10 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 28% of everything it billed.

33Billing provider infoBALLARD, DARREN
HOMEWOOD, IL 60430

33aNPI1467652560assigned 07/18/2007

33bProvider typeGastroenterology Physician

28Total paid$228K

24GClaims2,931

24DCodes billed10

24AFirst – last monthApr 2018 – Jun 2024

Compared with peers

Next to other Gastroenterology Physician providers in Illinois

Rank by total paid#35 of 370

Median peer was paid$16K

This provider vs. median14×

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	120	$991.33
2019	298	$17K
2020	701	$37K
2021	1,003	$91K
2022	590	$69K
2023	146	$5K
2024incomplete	73	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	28%	331	300	$64K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	25%	227	209	$57K
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	23%	745	680	$53K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	14%	1,128	495	$31K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	2.6%	28	26	$6K
99222	Initial hospital care, per day, moderate complexity	2.5%	100	91	$6K
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	1.7%	76	74	$4K
99254		1.5%	57	52	$3K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	227	97	$2K
99244	Office or other outpatient consultation, moderate to high complexity	<1%	12	12	$1K

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.