ALFONSO BALLESTEROS, M.D.
Surgery Physician · SUN CITY, AZ
Individual Active NPI 1497957815
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 316 | 655 | $464,576 | $163,222 | $127,980 |
| 2023 | 362 | 758 | $488,899 | $180,426 | $140,223 |
| 2022 | 318 | 602 | $415,816 | $157,127 | $123,183 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 96 | $163 | $123 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 73 | $48 | $38 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 71 | $89 | $66 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 50 | $126 | $98 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 41 | $125 | $95 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 39 | $108 | $86 |
| 49650 | Repair of groin hernia using an endoscope | 30 | $435 | $342 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 27 | $167 | $133 |
| 47562 | Removal of gallbladder using an endoscope | 24 | $607 | $485 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 22 | $76 | $61 |
| 49593 | Initial repair of sliding hernia of abdomen, 3-10 cm in length | 17 | $518 | $389 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | N2930 | 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.