LAURA BALMAIN, MD
Specialist · TEXARKANA, TX
Individual Active NPI 1386642692
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 745 | 10,725 | $1,455,457 | $550,771 | $436,615 |
| 2023 | 1,046 | 14,613 | $2,025,277 | $690,735 | $551,761 |
| 2022 | 962 | 8,453 | $1,586,047 | $492,709 | $389,394 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 3,570 | $46 | $36 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 2,012 | $60 | $47 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 391 | $46 | $37 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 269 | $44 | $35 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 192 | $238 | $195 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 119 | $122 | $100 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 112 | $121 | $74 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 89 | $97 | $70 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 40 | $86 | $54 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 38 | $167 | $167 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 36 | $161 | $111 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 28 | $75 | $58 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Specialist | 174400000X | ✓ | J1498 | TX |
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.