Loading...
NPI 1104931542 · Carlsbad, CA · Neurology Physician
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Glenn Balfour is a neurology physician provider located in Carlsbad, California. This profile covers 18 Medicare and 11 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Glenn Balfour |
| Address | 785 Grand Ave Ste 218 |
| City | Carlsbad |
| State | CA |
| ZIP | 92008 |
| Taxonomy | Neurology Physician |
| NPI Enumerated | August 19, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1M |
| Medicaid | $40.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 95886 | The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more… | 2,550 | $90 | $216.8K |
| 95912 | In this procedure, the provider performs eleven or twelve nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory… | 640 | $210 | $134.8K |
| 95911 | In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of… | 650 | $180 | $116.9K |
| 93890 | N/A | 380 | $200 | $75.8K |
| 93886 | The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He performs the procedure to assess blood flow… | 380 | $190 | $73K |
| 99214 | The 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… | 560 | $100 | $55.6K |
| 93892 | The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He does not injection a microbubble of saline or… | 380 | $150 | $55.5K |
| 93880 | Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral… | 380 | $140 | $50.8K |
| 95819 | Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG… | 110 | $410 | $44.1K |
| 99204 | The 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… | 280 | $140 | $38.8K |
Showing 1–10 of 18
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
18 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 93890 | 5 | 20 | 200 | $230 | $51K |
| 95816 | 93 | 360 | 40 | $280 | $48.9K |
| 93886 | 12 | 110 | 90 | $210 | $31.2K |
| 99214 | 4,412 | 37,970 | 120 | $90 | $23.2K |
| 93892 | 5 | 40 | 60 | $130 | $19.8K |
| 95819 | 45 | 230 | 40 | $220 | $15.7K |
| 99215 | 2,323 | 15,360 | 50 | $130 | $14.4K |
| 92546 | 7 | 50 | 30 | $120 | $14.3K |
| 95923 | 32 | 140 | 50 | $110 | $13.2K |
| 99213 | 3,674 | 34,660 | 80 | $70 | $13.2K |
Showing 1–10 of 18
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 95912 | In this procedure, the provider performs eleven or twelve nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory… | 500 | $20 | $11.5K |
| 95886 | The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more… | 1,320 | $10 | $10.5K |
| 95911 | In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of… | 520 | $20 | $8.8K |
| 99213 | The 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… | 500 | $10 | $4.5K |
| 93892 | The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He does not injection a microbubble of saline or… | 80 | $20 | $1.2K |
| L3916 | Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf | 20 | $50 | $1.1K |
| 93880 | Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral… | 70 | $10 | $840 |
| 93886 | The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He performs the procedure to assess blood flow… | 80 | $10 | $820 |
| 93890 | N/A | 80 | $10 | $580 |
| 95923 | In this procedure, the provider tests the sudomotor function of the autonomic nervous system to check functioning of nerves that supply sweat glands. The autonomic nervous system is that part of the… | 10 | $0 | $0 |
Showing 1–10 of 11
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
11 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 8,210 | 14,520 | 760 | $10 | $122.8K |
| 95886 | The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more… | 38 | 220 | 230 | $130 | $108.6K |
| 95912 | In this procedure, the provider performs eleven or twelve nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory… | 17 | 60 | 180 | $200 | $108K |
| 93890 | N/A | 10 | 20 | 100 | $120 | $107K |
| 93892 | The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He does not injection a microbubble of saline or… | 10 | 20 | 80 | $120 | $96.7K |
| 95911 | In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of… | 26 | 90 | 150 | $130 | $76.8K |
| 99204 | The 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… | 4,393 | 5,870 | 180 | $70 | $73K |
| 93886 | The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He performs the procedure to assess blood flow… | 36 | 70 | 80 | $110 | $37.9K |
| 93880 | Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral… | 294 | 520 | 110 | $70 | $30.4K |
| 95923 | In this procedure, the provider tests the sudomotor function of the autonomic nervous system to check functioning of nerves that supply sweat glands. The autonomic nervous system is that part of the… | 32 | 40 | 120 | $40 | $8.8K |
Showing 1–10 of 11
Other providers in the same ZIP code as Glenn Balfour, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Breg, Inc. | CA | Prosthetic/Orthotic Supplier | $0 | $49.6M |
| Agency Personal Care | CA | In Home Supportive Care Agency | $0 | $25.5M |
| Neogenomics Laboratories Inc | CA | Clinical Medical Laboratory | $2.9M | $1.4M |
| Anuradha Kanungo | CA | Anatomic Pathology & Clinical Pathology Physician | $444.5K | $0 |
| Mary Headley | CA | Family Nurse Practitioner | $348.4K | $0 |
| Martin Apt | CA | Psychiatric/Mental Health Nurse Practitioner | $177.9K | $0 |
| Marianna Siksay | CA | Family Medicine Physician | $109.7K | $0 |
| Kean Ganan | CA | Anesthesiology Physician | $105.6K | $0 |
| Ritvik Mehta | CA | Otolaryngology/Facial Plastic Surgery Physician | $91K | $0 |
| Vishal Banthia | CA | Otolaryngology Physician | $39.9K | $0 |
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.