npidexNPI registry + Medicare data

BRETT BALOUN, MD

Gastroenterology Physician · SIOUX FALLS, SD

Individual Active NPI 1245448869

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024391621$1,034,573$83,348$68,076
2023343538$873,206$73,009$59,262
2022395607$941,431$80,272$62,663

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
45380Biopsy of large bowel using a flexible endoscope153$113$94
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare132$233$195
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope101$92$69
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more96$91$69
43235Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope30$83$61
43249Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm28$132$105
G0105Colorectal cancer screening; colonoscopy on individual at high risk28$167$167
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more15$125$93

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Gastroenterology Physician207RG0100X✓8463SD
Internal Medicine Physician207R00000X000000MN

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.