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    OpenPayerNPI Medicare & MedicaidNathaniel Ballek
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    Nathaniel Ballek — Billing Profile & Reimbursement Data

    NPI 1043419872 · Overland Park, KS · Urology Physician

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    Nathaniel Ballek is a urology physician provider located in Overland Park, Kansas. This profile covers 13 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationNathaniel Ballek
    Address10550 Quivira Rd Ste 530
    CityOverland Park
    StateKS
    ZIP66215
    TaxonomyUrology Physician
    NPI EnumeratedJuly 12, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$85.5K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…400$60$25.6K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…220$90$20.7K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…100$180$16.9K
    54405The provider inserts inflatable synthetic material for a multicomponent, inflatable penile prosthesis into the penis of the patient. The provider also places a pump, the cylinders, and a reservoir…10$580$8.1K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…70$120$7.9K
    51798Providers perform this ultrasound to measure the volume of residual urine in the bladder.270$10$1.9K
    52332The provider performs cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…10$80$1K
    51700Bladder irrigation and instillation are used to deliver medication directly to the bladder via a catheter.  These medications are usually anti–inflammatory agents used to treat infection or…10$60$700
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.80$10$660
    84153The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and…30$20$610

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    520004780110$130$17K
    992141,4644,310120$70$16.4K
    841537914040$20$9.2K
    992133934,33090$50$8.7K
    5440511010$580$8.1K
    364156821,090150$10$6.3K
    992045081,93040$100$6K
    52332526030$170$4.9K
    51700334020$40$1.7K
    517982290160$10$1.4K

    Showing 1–10 of 13

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Nathaniel Ballek, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mark ThompsonKSRadiation Oncology Physician$2.6M$0
    Kenon QamarKSRadiation Oncology Physician$2.5M$0
    Barbara CookAZNuclear Medicine Physician$1.2M$0
    Michael AbergerMOUrology Physician$1.2M$0
    Thomas HockerKSMOHS-Micrographic Surgery Physician$1.1M$0
    Edward AbrahamARRadiation Oncology Physician$474.1K$0
    Sukumar EthirajanKSHematology & Oncology Physician$471.4K$0
    Debra OdenKSDiagnostic Radiology Physician$253.7K$92.6K
    David BockKSUrology Physician$307.6K$0
    Demetrios MaragosMOInterventional Cardiology Physician$279.9K$0

    Nearby Providers

    Other providers in the same ZIP code as Nathaniel Ballek, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bethesda Lutheran CommunitiesKSMental Illness Intermediate Care Facility$0$17.6M
    David DyerKSOphthalmology Physician$7.5M$0
    Cherub Medical Supply, LLCKSDurable Medical Equipment & Medical Supplies$0$6.3M
    Mawd Pathology Group IncKSAnatomic Pathology & Clinical Pathology Physician$660$5.9M
    Daniel FeilerKSOphthalmology Physician$4.8M$0
    Gregory FoxKSOphthalmology Physician$4M$0
    Ravi SinghKSOphthalmology Physician$3.9M$0
    Cpf Senior Living - Lenexa LLCKSAssisted Living Facility$0$3.8M
    Beatty SuiterKSOphthalmology Physician$3.5M$0
    Ryan ChristensenKSOphthalmology Physician$3.3M$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Kansas Distribution
    Nathaniel Ballek — 1 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas