Physician
Bali Surgical Practice PLLC
Bali Surgical Practice PLLC was paid $3.91M by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is S0281, Medical home program, comprehensive care coordination and planning, maintenance of plan — 72% of everything it billed.
33Billing provider infoBALI SURGICAL PRACTICE PLLC
CHARLESTON, WV 25301
CHARLESTON, WV 25301
33aNPI1659419653assigned 02/02/2007
33bProvider typeVascular Surgery Physician
28Total paid$3.91M
24GClaims101,256
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Vascular Surgery Physician providers in West Virginia
Rank by total paid#1 of 12
Median peer was paid$29K
This provider vs. median136×
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 | 4,651 | $255K | |
| 2019 | 7,457 | $336K | |
| 2020 | 19,559 | $695K | |
| 2021 | 27,528 | $925K | |
| 2022 | 19,148 | $765K | |
| 2023 | 17,743 | $726K | |
| 2024incomplete | 5,170 | $208K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 72% | 63,838 | 58,374 | $2.80M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.9% | 7,303 | 5,923 | $308K |
| 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 | 5.7% | 3,660 | 2,727 | $222K |
| S2083 | Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline | 3.4% | 1,025 | 867 | $134K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.0% | 11,720 | 4,448 | $118K |
| 76942 | 1.8% | 1,519 | 1,251 | $68K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 2,490 | 1,704 | $63K |
| 99401 | 1.4% | 3,133 | 2,013 | $54K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.2% | 563 | 520 | $48K |
| Q3014 | Telehealth originating site facility fee | <1% | 1,549 | 1,451 | $31K |
| 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 | <1% | 231 | 197 | $19K |
| 99402 | <1% | 706 | 406 | $12K |
10 more codes
| 99442 | <1% | 608 | $12K | |
| 93970 | <1% | 73 | $6K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 82 | $3K |
| 99441 | <1% | 410 | $3K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 93 | $3K |
| 76536 | <1% | 31 | $2K | |
| 43999 | <1% | 113 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 282 | $2K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 151 | $1K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 1,676 | $65.93 |
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 officialEVANS, VEDA (BILLING MANAGER)