Physician
Balette, Lily
Balette, Lily was paid $796K by Medicaid between Jan 2018 and Nov 2024, across 54 billing codes. Its largest line is 92552, — 16% of everything it billed.
33Billing provider infoBALETTE, LILY
GARDENA, CA 90247
GARDENA, CA 90247
33aNPI1902960388assigned 12/20/2006
33bProvider typeNeonatal-Perinatal Medicine Physician
28Total paid$796K
24GClaims49,076
24DCodes billed54
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Neonatal-Perinatal Medicine Physician providers in California
Rank by total paid#20 of 80
Median peer was paid$66K
This provider vs. median12×
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 | 7,753 | $149K | |
| 2019 | 8,869 | $170K | |
| 2020 | 6,204 | $99K | |
| 2021 | 6,454 | $82K | |
| 2022 | 6,908 | $109K | |
| 2023 | 7,944 | $130K | |
| 2024incomplete | 4,944 | $57K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92552 | 16% | 9,886 | 8,205 | $129K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 15% | 3,754 | 3,466 | $120K |
| 92551 | 15% | 11,114 | 8,725 | $116K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 2,827 | 2,549 | $85K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.9% | 2,032 | 1,892 | $79K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.7% | 5,483 | 4,987 | $53K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.9% | 1,716 | 1,418 | $47K |
| G9920 | Screening performed and negative | 3.2% | 1,663 | 1,586 | $26K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.8% | 912 | 863 | $23K |
| 96156 | 2.3% | 1,080 | 1,009 | $18K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.9% | 439 | 353 | $16K |
| 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 | 1.7% | 246 | 202 | $13K |
42 more codes
| 99205 | Prolong outpt/office vis | 1.7% | 146 | $13K |
| 90680 | 1.3% | 139 | $10K | |
| 81000 | 1.2% | 1,380 | $9K | |
| 90658 | <1% | 832 | $7K | |
| 99381 | <1% | 57 | $6K | |
| 85018 | <1% | 1,247 | $5K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 859 | $3K |
| 90700 | <1% | 234 | $2K | |
| 99236 | Prolong inpt eval add15 m | <1% | 35 | $2K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 294 | $2K |
| 92015 | Determination of refractive state | <1% | 364 | $2K |
| 90647 | <1% | 192 | $2K | |
| 90670 | <1% | 184 | $2K | |
| 90713 | <1% | 130 | $1K | |
| 96127 | <1% | 489 | $867.41 | |
| 90744 | <1% | 87 | $783.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 15 | $620.70 |
| 92002 | <1% | 16 | $588.48 | |
| 90657 | <1% | 44 | $404.52 | |
| 90723 | <1% | 15 | $293.06 | |
| 90649 | <1% | 25 | $292.64 | |
| 1036F | <1% | 131 | $275.37 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 87 | $273.70 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 71 | $251.92 |
| 90633 | <1% | 13 | $170.20 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 42 | $118.44 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 114 | $73.10 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 14 | $73.10 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 65 | $71.20 |
| 99490 | Ccm add 20min | <1% | 104 | $44.66 |
| 99443 | <1% | 12 | $27.70 | |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 0% | 86 | $0.00 |
| H0049 | Alcohol and/or drug screening | 0% | 25 | $0.00 |
| 99484 | 0% | 13 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 81 | $0.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 114 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 18 | $0.00 |
| 99383 | 0% | 15 | $0.00 | |
| 99384 | 0% | 17 | $0.00 | |
| 99401 | 0% | 38 | $0.00 | |
| 90461 | 0% | 48 | $0.00 | |
| 99408 | 0% | 32 | $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.