Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Michael C Baloga DPM, PC

Michael C Baloga DPM, PC was paid $73K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 11721, — 28% of everything it billed.

33Billing provider infoMICHAEL C BALOGA DPM, PC
WEST PITTSTON, PA 18643
33aNPI1972781250assigned 02/08/2008
28Total paid$73K
24GClaims7,310
24DCodes billed9
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Foot & Ankle Surgery Podiatrist providers in Pennsylvania

Rank by total paid#28 of 233
Median peer was paid$3K
This provider vs. median22×

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$1.0K$2.0K$3.0K2018201920202021202220232024
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
20181,439$10K
20191,417$7K
2020626$5K
20211,134$13K
20221,185$16K
20231,107$15K
2024incomplete402$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
11721 28% 3,757 3,695 $20K
99308 Subsequent nursing facility care, per day, straightforward 26% 1,067 1,028 $19K
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 23% 646 555 $17K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19% 796 720 $14K
11056 2.8% 433 429 $2K
99304 <1% 58 58 $593.64
11720 <1% 336 335 $260.21
11055 0% 55 55 $0.00
G0127 Trimming of dystrophic nails, any number 0% 162 162 $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.

From NPPES

Who's on the registration

Authorized officialBALOGA, DPM,PC, MICHAEL (OWNER DR)