Balkan, Robert

Balkan, Robert was paid $233K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 51% of everything it billed.

33Billing provider infoBALKAN, ROBERT
NEW ORLEANS, LA 70115

33aNPI1790725737assigned 06/07/2006

33bProvider typeOphthalmology Physician

28Total paid$233K

24GClaims6,032

24DCodes billed8

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in Louisiana

Rank by total paid#36 of 187

Median peer was paid$28K

This provider vs. median8.3×

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	855	$52K
2019	1,024	$38K
2020	1,052	$38K
2021	970	$41K
2022	882	$36K
2023	818	$20K
2024incomplete	431	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	51%	1,728	1,586	$120K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	48%	1,359	1,265	$111K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	<1%	43	40	$2K
92060		<1%	14	14	$129.69
1126F		0%	15	13	$0.00
92015	Determination of refractive state	0%	2,585	2,293	$0.00
1160F		0%	151	136	$0.00
1159F		0%	137	123	$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.