HERBERTH BALSELLS, D.O.
Emergency Medicine Physician · MOUNT KISCO, NY
Individual Active NPI 1013216571
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 344 | 414 | $448,803 | $69,189 | $54,587 |
| 2023 | 311 | 348 | $407,519 | $61,899 | $50,421 |
| 2022 | 365 | 422 | $564,545 | $81,599 | $71,251 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 129 | $198 | $158 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 70 | $193 | $154 |
| 99291 | Critical care, first 30-74 minutes | 63 | $239 | $190 |
| 99284 | Emergency department visit with moderate level of medical decision making | 52 | $137 | $106 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 31 | $9 | $7 |
| 99236 | Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes | 11 | $233 | $169 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 11 | $147 | $107 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ✓ | 262276 | NY |
| Internal Medicine Physician | 207R00000X | 262276 | NY |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.