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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKimberly Balshi
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    Kimberly Balshi — Billing Profile & Reimbursement Data

    NPI 1811530801 · Delray Beach, FL · Nurse Practitioner

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    Kimberly Balshi is a nurse practitioner provider located in Delray Beach, Florida. This profile covers 13 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
    OrganizationKimberly Balshi
    Address4751 N Classical Blvd
    CityDelray Beach
    StateFL
    ZIP33445
    TaxonomyNurse Practitioner
    NPI EnumeratedOctober 22, 2019

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

    Payer SourceTotal Paid
    Medicare$1.3M
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0897Injection, denosumab, 1 mg20,460$20$368.3K
    J2182Injection, mepolizumab, 1 mg10,200$20$234.6K
    J2356Injection, tezepelumab-ekko, 1 mg16,380$10$229.3K
    J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)3,450$30$117.3K
    J3111Injection, romosozumab-aqqg, 1 mg14,490$10$115.9K
    J0717Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)28,400$1$113.6K
    J1306Injection, inclisiran, 1 mg12,210$10$109.9K
    96401The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.200$50$9.9K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…70$90$5.9K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.130$40$5.6K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01291131309,350$30$386.8K
    J07179412052,000$1$302.7K
    J21827208,800$20$218.7K
    J235632010,080$10$170.5K
    J31117614016,170$10$166.4K
    J130616508,800$10$115.1K
    J0897471,0603,290$20$106.5K
    96413564730200$100$26.1K
    96401179590110$60$12.7K
    96365393840120$50$11.7K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Metro Infectious Disease Consultants, LLCILInfectious Disease Physician$0$44.3M
    Natalia SurowaniecILFamily Nurse Practitioner$2.1M$0
    Martha PawlukowskyILFamily Nurse Practitioner$2M$1.3K
    Margaret DenhamINNurse Practitioner$1.7M$0
    Marie RodriguezILGerontology Nurse Practitioner$1.7M$0
    Walter MarbachILRheumatology Physician$1.6M$53.2K
    Brooke RaneyIAFamily Nurse Practitioner$1.6M$0
    Kristin ElatkinILFamily Nurse Practitioner$1.6M$5K
    Robert ScribnerMIGerontology Nurse Practitioner$1.5M$0
    Vishnu ChundiILInfectious Disease Physician$978.9K$354.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ambassador Health Services IncFLHome Health Agency$0$14.7M
    Samuel GanzFLInternal Medicine Physician$5.3M$0
    Etan MarksFLDermatopathology (Pathology) Physician$2.7M$0
    Genetics Institute Of America Laboratory Fl1 CorpFLClinical Medical Laboratory$2.3M$0
    The Outpatient Center, LLCFLAmbulatory Surgical Clinic/Center$1.8M$0
    Delray Beach Asc, LLCFLAmbulatory Surgical Clinic/Center$1.6M$0
    Jason RosenFLDermatopathology Physician$1.1M$0
    Aaron WeissFLGastroenterology Physician$948.1K$0
    Morris NausFLGastroenterology Physician$866.2K$0
    Lianne CavellFLGastroenterology Physician$514.8K$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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Kimberly Balshi — 2 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida