MARIEL BALBOA, DO
Family Medicine Physician · MILL CREEK, WA
Individual Active NPI 1326676248
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 164 | 1,268 | $123,569 | $48,339 | $39,719 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 139 | $9 | $9 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 115 | $124 | $78 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 77 | $91 | $56 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 70 | $13 | $13 |
| 83036 | Hemoglobin a1c level | 61 | $10 | $10 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 60 | $7 | $7 |
| 80053 | Blood test, comprehensive group of blood chemicals | 55 | $10 | $10 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 51 | $129 | $129 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 34 | $16 | $16 |
| 82570 | Creatinine level to test for kidney function or muscle injury | 23 | $5 | $5 |
| 82043 | Urine microalbumin (protein) level | 23 | $6 | $6 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 20 | $8 | $8 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | OP61416306 | WA |
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.