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 Washington for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Washington 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. Washington (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.

Paul Ballinger (NPI 1407885890)

Field	Value
Entity Type	Individual
Organization	Paul Ballinger
Address	820 N Chelan Ave
City	Wenatchee
State	WA
ZIP	98801
Taxonomy	Gastroenterology Physician
NPI Enumerated	June 30, 2006

Payer Source	Total Paid
Medicare	$49.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
45385	The 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…	150	$200	$30.6K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	40	$170	$6.6K
45380	The 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…	30	$130	$4K
43239	The 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.	50	$80	$3.6K
43248	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the…	20	$110	$2K
43235	The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.	20	$80	$1.3K
G0500	Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence…	270	$1	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Paul Ballinger — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45385	68	380	70	$290	$31K
45380	264	370	60	$190	$16.4K
G0105	52	220	30	$280	$10.2K
43239	228	370	60	$120	$9.3K
43248	73	110	30	$180	$7K
43235	90	180	20	$120	$2.9K
G0500	7	120	50	$1	$330

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Washington Health Services Association	WA	General Acute Care Hospital	$0	$63.5M
Wenatchee Valley Hospital	WA	General Acute Care Hospital	$0	$22.9M
Columbia Valley Community Health	WA	Federally Qualified Health Center (FQHC)	$0	$21.5M
Wenatchee Valley Hospital	WA	Multi-Specialty Clinic/Center	$0	$19.5M
Wenatchee Valley Hospital	WA	Rural Health Clinic/Center	$0	$14.1M
Burns & Hunsaker LLC	WA	Speech-Language Pathologist	$0	$13.6M
Geoffrey T Ping, Ps	WA	Dental Clinic/Center	$0	$11.5M
Central Washington Health Services Association	WA	General Acute Care Hospital	$0	$10.9M
Columbia Valley Community Health	WA	Federally Qualified Health Center (FQHC)	$0	$8.1M
Central Washington Health Services Association	WA	Emergency Medical Services (Emergency Medicine) Physician	$0	$7M

Paul Ballinger — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References