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    v1.0.28
    OpenPayerNPI Medicare & MedicaidZubin Balsara
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    Zubin Balsara — Billing Profile & Reimbursement Data

    NPI 1184690430 · Fort Smith, AR · Diagnostic Radiology Physician

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    Zubin Balsara is a diagnostic radiology physician provider located in Fort Smith, Arkansas. This profile covers 55 Medicare and 7 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)

    FieldValue
    Entity TypeIndividual
    OrganizationZubin Balsara
    Address5707 Jenny Lind Rd
    CityFort Smith
    StateAR
    ZIP72908
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedFebruary 27, 2006

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

    Payer SourceTotal Paid
    Medicare$84.7K
    Medicaid$9.3K

    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.

    55 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    22513The provider performs a percutaneous vertebral augmentation of the thoracic spine, such as kyphoplasty, a surgical procedure that treats compression fractures of the spine. He also may perform a…20$350$8.4K
    32408In this procedure, the provider removes a core tissue sample from a lung or the mediastinum to diagnose conditions such as lung or mediastinal cancer. The code includes imaging guidance, when…50$110$5K
    36573Under imaging guidance, the provider places a catheter through the basilic or cephalic vein in the arm and directs it into one of the major veins carrying blood to the heart or directly into the…70$60$4.5K
    93880Duplex 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…160$30$4.2K
    77012In this procedure, the provider performs supervision and interpretation for a separately reportable procedure that uses computed tomography guided needle placement, as in biopsy or aspiration. Report…80$50$4.1K
    36558The provider places a catheter, without a subcutaneous port or pump in one of the major veins carrying the blood to the heart or directly into the right atrium, to administer medication, nutrients,…20$180$3.8K
    99152The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…380$10$3.4K
    22515At the same session as percutaneous vertebral augmentation of a thoracic or lumbar vertebral body, the provider repeats the procedure on each additional vertebral body. The provider performs a…20$160$2.8K
    49406The provider uses imaging guidance to direct a catheter through a small incision in the skin to a peritoneal or retroperitoneal area. Once the catheter is properly positioned, the area is drained.20$130$2.8K
    47000The provider removes a small sample of tissue from the liver through a small incision in the skin. The provider commonly performs this service to diagnose liver disease, to assess the severity of a…40$60$2.5K

    Showing 1–10 of 55

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 55 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    55 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    36902121020$670$43.3K
    2251531020$1,540$35.4K
    2251321020$1,690$33.7K
    3624771020$380$13.1K
    74177176210120$80$12.3K
    70450160190250$30$7.9K
    7417618822080$60$6.2K
    7126019422070$50$6.1K
    7214815419070$60$5.8K
    71045136200730$10$5.7K

    Showing 1–10 of 55

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…840$10$6.7K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…100$10$1K
    76700An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…10$50$650
    71020N/A40$10$430
    71010N/A20$10$290
    99152The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…30$10$260
    74018Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.10$10$120

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Arkansas providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Arkansas median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…1432401,300$10$38.6K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…236330300$10$29.8K
    76700An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…5050160$50$25.2K
    74018Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.149160110$10$12.3K
    99152The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…6070230$10$7.6K
    71020N/A144170130$10$4.2K
    71010N/A127130210$10$4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Radiology Services P AARDiagnostic Radiology Physician$0$1.3M
    Clint WoodARVascular & Interventional Radiology Physician$400.9K$195.9K
    Eric HallLADiagnostic Radiology Physician$441.4K$18.8K
    Jennifer WoodARDiagnostic Radiology Physician$214K$198.4K
    Ismail IhmeidanARDiagnostic Radiology Physician$266.4K$82.2K
    William HocottARDiagnostic Radiology Physician$182.2K$149.8K
    Matthew WilsonARDiagnostic Radiology Physician$315.8K$0
    Laura Moore-farrellARDiagnostic Radiology Physician$224.9K$80K
    Jamie IrelandARBody Imaging Physician$184.8K$105.8K
    Richard NelsonARDiagnostic Radiology Physician$179.3K$89.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Fort Smith Emergency Medical ServicesARAmbulance$1.3M$6.5M
    Lincare IncARDurable Medical Equipment & Medical Supplies$0$4.3M
    Fort Smith Regional Dialysis Center LLCAREnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3.1M
    Newborn Regional Providers PlcARNeonatal-Perinatal Medicine Physician$0$1.9M
    Brett WhatcottARInterventional Pain Medicine Physician$455.6K$0
    Bradley ShortARPhysical Medicine & Rehabilitation Physician$449.1K$0
    Hrair SimonianARGastroenterology Physician$405.7K$3.1K
    Fianna Hills Surgery Center IncARAmbulatory Surgical Clinic/Center$222.3K$26.7K
    Joseph MillerARPain Medicine (Physical Medicine & Rehabilitation) Physician$223K$0
    Whitney BellARDiagnostic Radiology Physician$186.5K$35K

    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. Arkansas Distribution
    Zubin Balsara — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas
    Medicaid Revenue by Year vs. Arkansas Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Arkansas Distribution
    Zubin Balsara — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas