Physician
Ganapathy Bala MD LLC
Ganapathy Bala MD LLC was paid $631K by Medicaid between Jan 2018 and Jan 2022, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoGANAPATHY BALA MD LLC
PUEBLO, CO 81005
PUEBLO, CO 81005
33aNPI1912916529assigned 08/05/2006
33bProvider typeAllergy Physician
28Total paid$631K
24GClaims12,436
24DCodes billed8
24AFirst – last monthJan 2018 – Jan 2022
Compared with peers
Next to other Allergy Physician providers in Colorado
Rank by total paid#2 of 5
Median peer was paid$15K
This provider vs. median41×
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 | 4,534 | $197K | |
| 2019 | 3,798 | $172K | |
| 2020 | 1,981 | $123K | |
| 2021 | 2,099 | $138K | |
| 2022 | 24 | $2K |
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 | 47% | 5,064 | 4,767 | $294K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 15% | 743 | 714 | $96K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 15% | 1,182 | 1,142 | $94K |
| 94010 | 12% | 2,633 | 2,521 | $73K | |
| 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 | 8.3% | 610 | 590 | $52K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.5% | 178 | 172 | $16K |
| 94760 | <1% | 1,988 | 1,788 | $5K | |
| 94060 | <1% | 38 | 38 | $1K |
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 officialBALA, GANAPATHY (OWNER)