Ebalo, Nonna Lyn

Ebalo, Nonna Lyn was paid $367K by Medicaid between Jan 2018 and Oct 2018, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.

33Billing provider infoEBALO, NONNA LYN
SOUTH BOSTON, VA 24592

33aNPI1861472524assigned 01/19/2006

33bProvider typePediatrics Physician

28Total paid$367K

24GClaims11,827

24DCodes billed35

24AFirst – last monthJan 2018 – Oct 2018

Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#158 of 817

Median peer was paid$29K

This provider vs. median13×

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	11,827	$367K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	39%	2,510	2,217	$144K
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	15%	638	585	$54K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	9.7%	444	438	$36K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	7.5%	347	342	$28K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	5.8%	283	279	$21K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	4.0%	425	406	$15K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	3.3%	856	787	$12K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.3%	100	98	$8K
99188		1.9%	330	326	$7K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.8%	787	775	$7K
90670		1.5%	273	271	$5K
90686		<1%	321	320	$4K

23 more codes

90651		<1%	104	$3K
90698		<1%	170	$3K
90680		<1%	147	$2K
90716		<1%	127	$2K
92552		<1%	86	$2K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	1,263	$2K
90633		<1%	188	$2K
90707		<1%	130	$2K
90734		<1%	61	$1K
90461		<1%	604	$1K
90700		<1%	82	$961.85
90685		<1%	83	$942.64
90744		<1%	76	$836.29
81002		<1%	204	$609.41
99173		<1%	229	$574.98
85018		<1%	201	$572.98
90715		<1%	38	$478.12
90710		<1%	14	$156.20
90713		<1%	12	$153.23
36416		<1%	154	$124.59
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	37	$49.77
99000		<1%	471	$11.58
J3490	Unclassified drugs	<1%	32	$0.09

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.