Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Oak Park › NPI 1952557316
Physician

Balek, Mark

Balek, Mark was paid $516K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 25% of everything it billed.

33Billing provider infoBALEK, MARK
OAK PARK, IL 60302
33aNPI1952557316assigned 08/16/2008
28Total paid$516K
24GClaims15,480
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Nuclear Cardiology Physician providers in Illinois

Rank by total paid#1 of 11
Median peer was paid$151K
This provider vs. median3.4×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
2018992$17K
20191,846$43K
20202,021$63K
20212,061$71K
20222,794$106K
20233,358$115K
2024incomplete2,408$102K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 25% 3,504 1,822 $130K
99223 Prolong inpt eval add15 m 22% 1,636 1,497 $114K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 21% 4,124 3,856 $111K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 12% 2,437 1,387 $63K
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 10.0% 1,682 1,527 $51K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 3.1% 510 439 $16K
93018 1.5% 423 355 $8K
93000 1.2% 489 470 $6K
78431 <1% 62 62 $5K
J2785 Injection, regadenoson, 0.1 mg <1% 95 89 $4K
93016 <1% 256 215 $4K
A9555 Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries <1% 12 12 $2K
6 more codes
93015 <1% 110 $1K
99222 Initial hospital care, per day, moderate complexity <1% 13 $602.18
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 50 $303.29
78434 <1% 49 $246.74
93308 <1% 15 $97.95
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 13 $31.23

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.