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

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

Amir Baluch (NPI 1497957476)

Field	Value
Entity Type	Individual
Organization	Amir Baluch
Address	1611 Nw 12th Ave
City	Miami
State	FL
ZIP	33136
Taxonomy	Anesthesiology Physician
NPI Enumerated	June 3, 2007

Payer Source	Total Paid
Medicare	$6.4M
Medicaid	$0

Key Findings

Business/service-line implication: The provider’s Medicare activity is overwhelmingly concentrated in mass COVID-19 test provisioning, as indicated by the dominance of K1034 (Provision of covid-19 test, nonprescription self-administered and self-collected use). Secondary services reported — care coordination/chronic care management codes 99439 and 99490 — generate only a sliver of revenue relative to testing. This mix suggests the operation functions primarily as a high-volume testing/distribution point rather than a typical anesthesiology practice model.

Revenue concentration risk: Total Medicare revenue: $6.4M but the top three Medicare codes by revenue account for 99.9% of this provider's total Medicare revenue, with K1034 alone contributing $6.5M (99.6% of the total). Such extreme concentration means the provider’s Medicare financial profile is highly dependent on a single service line. Any policy, payment, or demand change affecting K1034 would materially affect overall Medicare receipts.

Payer mix: Total Medicaid revenue: none (no Medicaid billing on file), so this provider is effectively single-payer from a claims perspective with Medicare providing the entire recorded public-payer revenue stream. The absence of Medicaid billing eliminates in-state Medicaid exposure and suggests limited participation in Medicaid-covered care or that Medicaid services are not billed under this NPI.

Competitive standing for K1034: K1034 volume is exceptionally large — 538.2K claims with $12 avg paid/claim and $6.5M revenue — and the provider ranks #75 of 30143 providers nationally (100th percentile), described as an "extreme outlier, far above typical national volume for this code." This places the provider among the very highest national performers for this test-provisioning code and indicates a dominant market position for that specific service.

Competitive standing for CCM and related services: 99439 shows 311 claims, $35 avg paid/claim, $10.9K revenue (0.2% of Medicare revenue) and ranks #1254 of 8395 providers nationally (85th percentile), while 99490 shows 204 claims, $44 avg paid/claim, $9K revenue (0.1% of Medicare revenue) and ranks #6354 of 16216 providers nationally (61th percentile). These ranks indicate typical to above-typical engagement in chronic care management relative to peers, but their revenue impact is marginal compared with K1034. In sum, the provider is a modest participant in CCM services but not a major revenue driver.

Tenure and credentialing: NPI enumerated on 2007-06-03 (~19 years ago), indicating a long-standing enrollment in Medicare. That tenure can be relevant for network, credentialing, and historical claims continuity assessments, even though current revenue is dominated by a recent-era pandemic-related code.

Service-profile mismatch with taxonomy: The provider taxonomy is Anesthesiology Physician, yet the recorded Medicare revenue mix is dominated by a public-health testing code (K1034) and care coordination codes (99439, 99490). This discrepancy suggests the NPI’s billing practices or contracted operational role focus on episodic/testing services and care management rather than typical anesthesiology procedural billing, which analysts should note when benchmarking against anesthesiology peers.

Geographic and national competitive signal: While the provider’s Medicaid footprint is nil, the national rank information for K1034 (100th percentile) signals a national-scale outlier in COVID-19 test provisioning rather than a localized small practice effect. Analysts evaluating regional capacity or national testing distribution should treat this provider as a high-volume national outlier for the K1034 code rather than a conventional local clinical provider.

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
K1034	Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count	538,200	$10	$6.5M
99439	The 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…	310	$40	$10.9K
99490	The 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…	200	$40	$9K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	50	$100	$4.7K
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and…	30	$30	$900
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…	10	$40	$490

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Amir Baluch — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
K1034	6	2,890	600	$10	$68.5K
99349	1,167	1,570	140	$90	$27.4K
99490	506	1,200	150	$50	$19.7K
99439	111	540	110	$30	$8.7K
G0180	2,260	2,390	30	$40	$1.9K
G0179	440	780	30	$30	$1.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rajiv Agarwal	TX	Cardiovascular Disease Physician	$3.3M	$0
Armita Atashband	TX	Interventional Cardiology Physician	$2.5M	$0
Joshua Mintz	TX	Anesthesiology Physician	$2.2M	$0
Stanley Duchman	TX	Interventional Cardiology Physician	$2.2M	$0
Karan Bhalla	TX	Cardiovascular Disease Physician	$2.1M	$0
Kevin Lisman	TX	Cardiovascular Disease Physician	$2.1M	$0
Rakesh Shah	TX	Cardiovascular Disease Physician	$2M	$0
John Isaac	TX	Interventional Cardiology Physician	$2M	$0
Ahmad Aslam	TX	Cardiovascular Disease Physician	$1.9M	$0
John Davis	TX	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$1.8M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Public Health Trust Of Miami Dade County Florida	FL	General Acute Care Hospital	$0	$79M
University Of Miami Hospital And Clinics	FL	Special Hospital	$0	$62.1M
Dva Renal Healthcare Inc	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$37.1M
Brave Health Inc.	FL	Community/Behavioral Health Agency	$0	$23M
City Of Miami	FL	Land Ambulance	$1.4M	$8.7M
University Of Miami	FL	Anatomic Pathology & Clinical Pathology Physician	$0	$7.4M
Action Service Solutions, LLC	FL	Developmental Disabilities Clinic/Center	$0	$7.3M
Bahram Khazai	FL	Internal Medicine Physician	$4.4M	$0
Marco Gonzalez	FL	Ophthalmology Physician	$3.7M	$0
Jaclyn Kovach	FL	Ophthalmology Physician	$3.1M	$0

Amir Baluch — Billing Profile & Reimbursement Data

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Amir Baluch — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References