Physician
Balke, Debra
Balke, Debra was paid $1.89M by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 38% of everything it billed.
33Billing provider infoBALKE, DEBRA
TEMPLETON, CA 93465
TEMPLETON, CA 93465
33aNPI1508940081assigned 10/24/2006
28Total paid$1.89M
24GClaims14,363
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Neurology with Special Qualifications in Child Neurology Physician providers in California
Rank by total paid#4 of 26
Median peer was paid$62K
This provider vs. median31×
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 | 2,171 | $251K | |
| 2019 | 2,474 | $304K | |
| 2020 | 2,096 | $318K | |
| 2021 | 1,697 | $265K | |
| 2022 | 2,189 | $299K | |
| 2023 | 2,421 | $313K | |
| 2024incomplete | 1,315 | $142K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 38% | 3,364 | 3,233 | $727K |
| 99205 | Prolong outpt/office vis | 22% | 1,420 | 1,395 | $411K |
| 99354 | 14% | 1,952 | 1,894 | $256K | |
| 99497 | 11% | 2,449 | 2,335 | $213K | |
| 99490 | Ccm add 20min | 5.3% | 2,091 | 2,070 | $99K |
| 99424 | 5.0% | 1,115 | 1,072 | $95K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.0% | 742 | 708 | $57K |
| 99425 | 1.0% | 312 | 301 | $19K | |
| 95819 | <1% | 51 | 51 | $5K | |
| 96127 | <1% | 801 | 767 | $5K | |
| 95957 | <1% | 25 | 25 | $3K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 27 | 27 | $801.36 |
1 more codes
| 99417 | Prolong home eval add 15m | <1% | 14 | $397.32 |
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.