Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

JOHN E BALMER JR. DO

NPI: 1639238900 · SPARTANSBURG, PA 16434 · Family Medicine Physician · NPI assigned 12/06/2006

$379K
Total Medicaid Paid
8,280
Total Claims
6,952
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBALMER, PATRICIA (OFFICE MANAGER)
NPI Enumeration Date12/06/2006

Related Entities

Other providers sharing the same authorized official: BALMER, PATRICIA

ProviderCityStateTotal Paid
JOHN E BALMER JR., DO UNION CITY PA $46K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 906 $27K
2019 1,086 $38K
2020 525 $25K
2021 1,330 $78K
2022 1,606 $84K
2023 1,667 $68K
2024 1,160 $58K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 5,313 4,278 $375K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,616 1,430 $3K
3078F 585 539 $515.00
3074F 479 440 $315.00
3079F 87 80 $75.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 200 185 $54.42