Balanced Wellness Primary Care, LLC

Balanced Wellness Primary Care, LLC was paid $278K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.

33Billing provider infoBALANCED WELLNESS PRIMARY CARE, LLC
UNCASVILLE, CT 06382

33aNPI1780926774assigned 03/18/2013

33bProvider typeFamily Nurse Practitioner

28Total paid$278K

24GClaims7,909

24DCodes billed17

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Connecticut

Rank by total paid#28 of 108

Median peer was paid$32K

This provider vs. median8.6×

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	813	$31K
2019	959	$32K
2020	1,565	$50K
2021	949	$27K
2022	1,231	$35K
2023	1,453	$57K
2024incomplete	939	$45K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	56%	3,099	2,314	$157K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	36%	3,318	2,521	$100K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	2.8%	101	74	$8K
96127		1.6%	204	169	$4K
99442		<1%	65	59	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	187	124	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	37	31	$1K
36415	Collection of venous blood by venipuncture	<1%	567	487	$1K
99443		<1%	15	12	$668.96
90688		<1%	54	51	$553.04
64642		<1%	24	13	$542.78
95874		<1%	48	26	$136.66

5 more codes

G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	16	$23.28
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	14	$0.00
G0442	Annual alcohol misuse screening, 5 to 15 minutes	0%	26	$0.00
99000		0%	106	$0.00
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	0%	28	$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 officialMAHAN, KRISTIN (OWNER)