Physician
Dana Balderrama MD PC
Dana Balderrama MD PC was paid $10K by Medicaid between Feb 2018 and Mar 2021, across 3 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 70% of everything it billed.
33Billing provider infoDANA BALDERRAMA MD PC
LAKE HAVASU CITY, AZ 86403
LAKE HAVASU CITY, AZ 86403
33aNPI1932110137assigned 08/11/2006
33bProvider typeSurgery of the Hand (Plastic Surgery) Physician
28Total paid$10K
24GClaims126
24DCodes billed3
24AFirst – last monthFeb 2018 – Mar 2021
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 | 87 | $7K | |
| 2019 | 13 | $608.64 | |
| 2020 | 13 | $582.32 | |
| 2021 | 13 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 70% | 87 | 86 | $7K |
| 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 | 18% | 13 | 13 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 26 | 24 | $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 officialBALDERRAMA, DANA (OWNER)