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

Why is the Medicaid comparison limited to North Dakota 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. North Dakota (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.

Manisha Balhara (NPI 1457594079)

Field	Value
Entity Type	Individual
Organization	Manisha Balhara
Address	2400 32nd Avenue S
City	Fargo
State	ND
ZIP	58122
Taxonomy	Hospitalist Physician
NPI Enumerated	April 13, 2009

Payer Source	Total Paid
Medicare	$70.6K
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
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	280	$90	$26K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	310	$60	$18.6K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	60	$130	$8K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	80	$90	$7.2K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	70	$60	$4.5K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	90	$40	$3.2K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	30	$90	$3.1K

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. North Dakota Distribution

Manisha Balhara — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	37	290	60	$90	$11.9K
99232	94	560	70	$60	$10K
99223	108	330	40	$130	$8.9K
99239	85	210	60	$90	$7.3K
99222	165	440	30	$100	$3.8K
99231	45	260	40	$40	$2.5K
99238	12	180	20	$60	$2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanford Medical Center Fargo	ND	General Acute Care Hospital	$0	$50.2M
Sanford Clinic North	ND	Clinical Medical Laboratory	$1.4M	$7M
Ashish Regulagadda	ND	Nephrology Physician	$145.4K	$0
Anthony Charbonneau	ND	Orthopedic Physical Therapist	$126.8K	$0
Ross Meidinger	ND	Gastroenterology Physician	$123.7K	$0
Puneet Sharma	ND	Interventional Cardiology Physician	$103.9K	$0
Jeffrey Hunt	ND	Internal Medicine Physician	$72.3K	$0
Kim Belzberg	ND	Internal Medicine Physician	$64K	$0
Erik Heitkamp	ND	Hospitalist Physician	$55.9K	$0
Jared Velgersdyk	ND	Internal Medicine Physician	$53.4K	$0

Manisha Balhara — Billing Profile & Reimbursement Data

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Manisha Balhara — 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