Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Balm of Gilead Medical Office, PC

Balm of Gilead Medical Office, PC was paid $5.95M by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.

33Billing provider infoBALM OF GILEAD MEDICAL OFFICE, PC
BRONX, NY 10470
33aNPI1720104474assigned 03/22/2007
28Total paid$5.95M
24GClaims113,067
24DCodes billed47
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#40 of 6,049
Median peer was paid$11K
This provider vs. median526×

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

$0$50K$100K$150K2018201920202021202220232024
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
201829,271$922K
201914,459$754K
202016,116$843K
202117,278$1.07M
202213,760$898K
202312,320$802K
2024incomplete9,863$656K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 68% 59,575 55,593 $4.03M
62323 17% 4,882 4,868 $1.03M
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 2.8% 1,737 1,683 $169K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.1% 1,404 1,403 $127K
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 1.5% 1,535 1,510 $88K
20611 1.4% 968 950 $81K
99401 1.1% 2,418 2,348 $66K
72275 <1% 596 590 $42K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed <1% 234 232 $37K
80321 <1% 973 942 $28K
80372 <1% 972 941 $28K
80354 <1% 973 942 $28K
35 more codes
80373 <1% 973 $28K
99204 Doctor's office visit, new patient (more involved) <1% 232 $26K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 211 $21K
99404 <1% 338 $13K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 944 $11K
83992 <1% 973 $10K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 844 $8K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 5,197 $7K
80358 <1% 973 $5K
80359 <1% 973 $5K
80349 <1% 973 $5K
80353 <1% 973 $5K
80324 <1% 973 $5K
80356 <1% 973 $5K
80361 <1% 973 $5K
80346 <1% 973 $5K
80365 <1% 972 $5K
80348 <1% 973 $5K
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 5,087 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 25 $3K
62321 <1% 12 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 54 $2K
20610 <1% 28 $2K
76942 <1% 12 $1K
36415 Collection of venous blood by venipuncture <1% 794 $1K
96125 <1% 30 $579.87
G0444 Annual depression screening, 5 to 15 minutes <1% 233 $176.13
99070 <1% 846 $105.00
99406 <1% 12 $78.75
1126F <1% 137 $63.33
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 388 $3.58
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 25 $3.07
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 6,051 $1.97
99000 0% 2,448 $0.00
99072 0% 1,177 $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 officialEMILI, GREGORY (ASSOCIATE PROGRAM DIRECTOR)