Balsam Health of the Carolinas, PLLC

Balsam Health of the Carolinas, PLLC was paid $227K by Medicaid between Apr 2019 and Dec 2023, across 6 billing codes. Its largest line is 99335, — 59% of everything it billed.

33Billing provider infoBALSAM HEALTH OF THE CAROLINAS, PLLC
SHELBY, NC 28150

33aNPI1598257750assigned 06/04/2018

33bProvider typePrimary Care Clinic/Center

28Total paid$227K

24GClaims4,533

24DCodes billed6

24AFirst – last monthApr 2019 – Dec 2023

Compared with peers

Next to other Primary Care Clinic/Center providers in North Carolina

Rank by total paid#58 of 116

Median peer was paid$226K

This provider vs. median1.0×

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
2019	852	$43K
2020	908	$43K
2021	1,229	$55K
2022	752	$45K
2023	792	$41K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99335		59%	2,449	2,268	$134K
99336		22%	763	746	$49K
99348		12%	610	464	$28K
99349		5.5%	182	160	$12K
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	1.2%	463	461	$3K
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	<1%	66	65	$515.38

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 officialIBRAHIM, RADWAN (OWNER/MEMBER)