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    v1.0.28
    OpenPayerNPI Medicare & MedicaidLaura Balmain
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    Laura Balmain — Billing Profile & Reimbursement Data

    NPI 1386642692 · Texarkana, TX · Specialist

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    Laura Balmain is a specialist provider located in Texarkana, Texas. This profile covers 24 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
    OrganizationLaura Balmain
    Address1920 Moores Ln
    CityTexarkana
    StateTX
    ZIP75503
    TaxonomySpecialist
    NPI EnumeratedJuly 11, 2005

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

    Payer SourceTotal Paid
    Medicare$421.5K
    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J3380Injection, vedolizumab, intravenous, 1 mg6,300$20$107.1K
    99439The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…1,890$40$69.8K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…330$200$65.7K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…1,120$50$54.7K
    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…230$90$19.8K
    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…130$110$14.3K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.160$80$12.3K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…140$90$12.2K
    87506The lab analyst performs a test to detect six to eleven types or subtypes of a pathogen, such as Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia, that cause gastrointestinal…40$260$11.4K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk60$170$9.3K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J338016209,450$20$183K
    45385441,13050$280$26.4K
    992149,64832,500110$80$17.6K
    453801611,16050$190$16.4K
    8750641020$260$16.3K
    99490931,520180$40$16.2K
    992327,13211,790100$60$15.8K
    G010511761030$270$12K
    432391531,21070$120$11.3K
    99457270720150$40$10.1K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Stephen SteeleTXGastroenterology Physician$493.6K$2.6K
    John CozartTXSpecialist$235.2K$0
    Christoph WoerleinUTGastroenterology Physician$128K$0
    Albert ScatesTXCertified Registered Nurse Anesthetist$83K$0
    George EnglishTXAnatomic Pathology & Clinical Pathology Physician$58.2K$0
    Jessica HuettTXCertified Registered Nurse Anesthetist$15.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Total Medical Supply IncTXDurable Medical Equipment & Medical Supplies$0$42.8M
    Lifenet, Inc.TXLand Ambulance$7.2M$19.9M
    Texarkana Special Education Center, Inc.TXDevelopmentally Disabled Services Day Training Agency$0$19.4M
    Christus Health Ark-la-texTXGeneral Acute Care Hospital$0$15.6M
    East Texas Border Health ClinicTXFederally Qualified Health Center (FQHC)$0$10.9M
    Texarkana Surgery Center LPTXAmbulatory Surgical Clinic/Center$810.8K$2.4M
    Precision Surgery Center, LLC.TXAmbulatory Surgical Clinic/Center$1.5M$0
    Tglp, LPTXAmbulatory Surgical Clinic/Center$940.7K$440.3K
    Roshan GeorgeTXRetina Specialist (Ophthalmology) Physician$1.1M$0
    Hai TranTXRadiation Oncology Physician$1.1M$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. Texas Distribution
    Laura Balmain — 2 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas