Balagtas-Balmaseda, Ofelia

Balagtas-Balmaseda, Ofelia was paid $75K by Medicaid between Jan 2018 and Mar 2020, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.

33Billing provider infoBALAGTAS-BALMASEDA, OFELIA
TERRE HAUTE, IN 47802

33aNPI1861542565assigned 01/12/2007

33bProvider typePain Medicine (Physical Medicine & Rehabilitation) Physician

28Total paid$75K

24GClaims4,618

24DCodes billed2

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other Pain Medicine (Physical Medicine & Rehabilitation) Physician providers in Indiana

Rank by total paid#6 of 7

Median peer was paid$379K

This provider vs. median0.2×

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	1,974	$21K
2019	2,151	$39K
2020	493	$14K

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	52%	2,663	2,303	$39K
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	48%	1,955	1,689	$36K

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.