Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Nursing facility

Balboa Healthcare, INC.

Balboa Healthcare, INC. was paid $812K by Medicaid between Jan 2018 and May 2023, across 11 billing codes. Its largest line is A6229, Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing — 42% of everything it billed.

33Billing provider infoBALBOA HEALTHCARE, INC.
SAN DIEGO, CA 92103
33aNPI1578521274assigned 05/02/2006
33bProvider typeSkilled Nursing Facility
28Total paid$812K
24GClaims46,761
24DCodes billed11
24AFirst – last monthJan 2018 – May 2023
Compared with peers

Next to other Skilled Nursing Facility providers in California

Rank by total paid#68 of 547
Median peer was paid$73K
This provider vs. median11×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official MITCHELL, JOHN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20186,223$34K
20199,255$51K
20206,515$118K
20219,686$234K
202210,975$301K
20234,107$74K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
A6229 Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing 42% 1,381 1,326 $339K
A6251 Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 23% 1,409 1,324 $189K
94760 17% 41,471 1,607 $138K
A4452 Tape, waterproof, per 18 square inches 7.4% 444 395 $60K
A6212 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing 4.1% 171 171 $33K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3.9% 826 109 $32K
97530 Therapeutic activities, direct patient contact, each 15 minutes 2.2% 894 112 $18K
97116 <1% 94 13 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 32 12 $898.42
90662 0% 14 14 $0.00
90688 0% 25 25 $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.

From NPPES

Who's on the registration

Authorized officialMITCHELL, JOHN (SECRETARY)
Same official

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.