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.

Adam Balkany (NPI 1538270491)

Field	Value
Entity Type	Individual
Organization	Adam Balkany
Address	1550 N 115th St
City	Seattle
State	WA
ZIP	98133
Taxonomy	Pain Medicine (Anesthesiology) Physician
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicare	$14K
Medicaid	$0

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
00670	The provider performs anesthesia services for a patient undergoing an extensive spine and spinal cord procedures including spinal instrumentation, where the provider implants plates and screws into…	10	$340	$3.7K
01214	The provider performs anesthesia services for a patient undergoing an open total hip arthroplasty.	20	$140	$2.4K
00630	The provider performs anesthesia services for a patient undergoing a procedure in lumbar region; not otherwise specified.	10	$170	$2.1K
01402	The provider performs anesthesia services for a patient undergoing an open or arthroscopic total knee arthroplasty.	20	$130	$2K
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	20	$90	$2K
00811	The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…	20	$110	$1.7K

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. Washington Distribution

Adam Balkany — 0 of 6 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

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00670	54	60	10	$440	$7K
01402	95	230	20	$230	$4.1K
00630	6	10	10	$230	$3.8K
00811	427	560	20	$100	$3.7K
01214	18	90	10	$240	$3.6K
00731	259	660	20	$90	$2.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adam Olsson	TN	Pain Medicine Physician	$135.8K	$0
William Taylor	WA	Certified Registered Nurse Anesthetist	$97.6K	$0
Aaron Harville	CA	Anesthesiology Physician	$87.6K	$0
Russell Legg	WA	Pain Medicine (Anesthesiology) Physician	$84.2K	$0
Nathan Vanvickle	WA	Certified Registered Nurse Anesthetist	$67.4K	$0
Ray Lee	WA	Anesthesiology Physician	$48K	$0
Vanetta Levesque	WA	Anesthesiology Physician	$40.5K	$0
John Larson	AR	Interventional Pain Medicine Physician	$37.5K	$0
Heather Hess	WA	Certified Registered Nurse Anesthetist	$36.6K	$0
Scott Goldhaber	WA	Anesthesiology Physician	$34.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Neighborcare Health	WA	Federally Qualified Health Center (FQHC)	$0	$16.2M
International Community Health Services	WA	Federally Qualified Health Center (FQHC)	$0	$11.5M
Shoreline Fire Department	WA	Land Ambulance	$350.3K	$10.2M
Uw Medicine Northwest	WA	General Acute Care Hospital	$0	$5.7M
Northwest Kidney Centers	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.7M
Therapeutic Health Services	WA	Methadone Clinic	$0	$3.3M
David Drucker	WA	Retina Specialist (Ophthalmology) Physician	$1.8M	$0
Sharel Ongchin	WA	Ophthalmology Physician	$1.3M	$0
Kristi Bailey	WA	Ophthalmology Physician	$937.7K	$0
Vinod Doreswamy	WA	Allergy & Immunology Physician	$702.1K	$0

Adam Balkany — Billing Profile & Reimbursement Data

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Adam Balkany — 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