Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Tennessee for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Tennessee only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Tennessee (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Leah Balch (NPI 1225451925)

Field	Value
Entity Type	Individual
Organization	Leah Balch
Address	1406 Tusculum Blvd Ste 1200
City	Greeneville
State	TN
ZIP	37745
Taxonomy	Gerontology Nurse Practitioner
NPI Enumerated	January 31, 2014

Payer Source	Total Paid
Medicare	$19K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	110	$80	$8.5K
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…	100	$50	$4.9K
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…	110	$40	$3.9K
99203	The provider sees a new 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 provider…	30	$50	$1.3K
91200	The provider uses elastography to determine whether tumors in the liver are nonmalignant or benign and to distinguish a lesion from normal tissue. Tumors show less elasticity or resumption of their…	90	$10	$520

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

Leah Balch — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	6,412	11,370	120	$80	$16.6K
99213	4,383	11,030	80	$50	$8K
99204	536	5,490	30	$100	$5.3K
99203	2,066	3,750	30	$70	$3.1K
91200	3	20	30	$20	$1.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Takoma Regional Hospital Inc	TN	General Acute Care Hospital	$0	$20.1M
Melanie Davidson	TN	Cardiovascular Disease Physician	$344.7K	$0
Mandeep Bakshi	TN	Pulmonary Disease Physician	$95.9K	$58.6K
Dane Lee	VA	Family Medicine Physician	$59.9K	$88.1K
Joseph Kretschmar	TN	Gastroenterology Physician	$106.1K	$0
Melissa Gaffney	TN	Foot & Ankle Surgery Podiatrist	$73.3K	$2.8K
Arthur Belanger	TN	Podiatrist	$55.1K	$0
Erick Bulawa	TN	Internal Medicine Physician	$45K	$0
Debra Lewis	TN	Family Medicine Physician	$40.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maxim Healthcare Services Inc	TN	Home Health Agency	$0	$9M
Greene County Skills, Inc.	TN	Developmentally Disabled Services Day Training Agency	$0	$2.7M
Lincare Inc	TN	Durable Medical Equipment & Medical Supplies	$0	$2.1M
Med-trans Corporation	TN	Air Ambulance	$436.3K	$919.3K
Dharmen Patel	TN	Hematology & Oncology Physician	$901.9K	$0
Anil Tumkur	TN	Hematology & Oncology Physician	$491.1K	$24.3K
Jason Carter	TN	Urology Physician	$309.4K	$0
Tom Stathopoulos	TN	Cardiovascular Disease Physician	$218.6K	$64.2K
Victoria Kite	TN	Occupational Therapist	$140.1K	$0
Jessica Copeland	TN	Physical Therapist	$130K	$0

Leah Balch — Billing Profile & Reimbursement Data

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Leah Balch — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References