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
OAK PARK, IL 60302
33aNPI1952557316assigned 08/16/2008
33bProvider typeNuclear Cardiology Physician
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
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 | 992 | $17K | |
| 2019 | 1,846 | $43K | |
| 2020 | 2,021 | $63K | |
| 2021 | 2,061 | $71K | |
| 2022 | 2,794 | $106K | |
| 2023 | 3,358 | $115K | |
| 2024incomplete | 2,408 | $102K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.