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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSergio Balingit
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    Sergio Balingit — Billing Profile & Reimbursement Data

    NPI 1669405312 · The Villages, FL · Sleep Medicine (Internal Medicine) Physician

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    Sergio Balingit is a sleep medicine (internal medicine) physician provider located in The Villages, Florida. This profile covers 21 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
    OrganizationSergio Balingit
    Address1501 N Us Highway 441
    CityThe Villages
    StateFL
    ZIP32159
    TaxonomySleep Medicine (Internal Medicine) Physician
    NPI EnumeratedJuly 8, 2006

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

    Payer SourceTotal Paid
    Medicare$576.8K
    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…2,410$100$228.9K
    95811During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.220$480$103K
    95810Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…110$460$49.6K
    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…310$120$36.8K
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.880$40$36.8K
    94727The provider performs a pulmonary function test, or PFT, to assess the patient’s lung volumes using gas dilution or washout techniques that compare a known concentration of an inhaled gas with the…880$30$28.1K
    94375The provider performs a respiratory flow volume loop study to differentiate a patient's obstructive pulmonary disorder from restrictive pulmonary disorders. He may also use the procedure to…880$30$24.6K
    94617In this procedure, the provider performs a test to assess exercise–induced bronchospasm to evaluate lung function and to diagnose certain lung disorders.  The provider also evaluates some degree of…300$70$19.6K
    94200The provider measures the largest volume of air that a patient can voluntarily breathe while the patient breathes as deeply and quickly as possible for a specified period of time. This test helps…880$10$9.6K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…50$170$7.7K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9476255050$20$43.8K
    9461721040$40$25.2K
    9921415632,760140$90$25K
    992336,8479,970100$90$20.1K
    95811524040$330$18.5K
    958103424040$310$17.9K
    992912,6164,77050$170$15.7K
    992235,54411,11060$130$12.5K
    992154,9148,55040$130$10.7K
    9920424519,04040$110$7K

    Showing 1–10 of 21

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Robert DorseyFLSurgery Physician$4.3M$0
    Maen HusseinFLMedical Oncology Physician$3.2M$0
    Rakesh RohatgiFLMedical Oncology Physician$2.5M$0
    Georg CouturierFLCardiovascular Disease Physician$2.2M$0
    Sachin KamathFLRadiation Oncology Physician$2M$0
    Jennifer CultreraFLMedical Oncology Physician$1.9M$0
    Johnny GurgenFLDermatology Physician$1.6M$0
    Tlc Asc, LLCFLAmbulatory Surgical Clinic/Center$1.5M$12.1K
    Nitza Alvarez TorresFLCardiovascular Disease Physician$1.5M$0
    National Surgical Centers Of America LLCFLAmbulatory Surgical Clinic/Center$1.4M$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Sergio Balingit — 7 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida