KAREN BALLEN, MD
Hematology (Internal Medicine) Physician · FALLS CHURCH, VA
Individual Active NPI 1821089558
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 135 | 638 | $162,126 | $49,942 | $37,754 |
| 2023 | 138 | 675 | $234,169 | $76,576 | $60,107 |
| 2022 | 134 | 695 | $223,650 | $79,509 | $61,417 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 178 | $16 | $13 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 120 | $138 | $98 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 88 | $93 | $72 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 83 | $63 | $47 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 64 | $114 | $91 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 22 | $168 | $134 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 20 | $30 | $23 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 17 | $76 | $60 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Hematology (Internal Medicine) Physician | 207RH0000X | ✓ | 0101261336 | VA |
| Internal Medicine Physician | 207R00000X | 70975 | MA | |
| Hematology & Oncology Physician | 207RH0003X | 70975 | MA | |
| Hepatology Physician | 207RI0008X | 0101261336 | VA |
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.