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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMelissa Balbuena-root
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    Melissa Balbuena-root — Billing Profile & Reimbursement Data

    NPI 1912360884 · Peoria, AZ · Clinical Neurophysiology Physician

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    Melissa Balbuena-root is a clinical neurophysiology physician provider located in Peoria, Arizona. This profile covers 9 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
    OrganizationMelissa Balbuena-root
    Address9158 W Dreyfus Dr
    CityPeoria
    StateAZ
    ZIP85381
    TaxonomyClinical Neurophysiology Physician
    NPI EnumeratedMarch 30, 2016

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

    Payer SourceTotal Paid
    Medicare$131K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0453Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in…1,830$30$45.7K
    95939The provider performs a central motor evoked potential study in the upper and lower limbs for diagnosis of multiple sclerosis and as a prognostic indicator for stroke motor recovery.220$90$19.7K
    95861In this procedure, the provider uses an electromyograph to record electrical activity that skeletal muscle cells produce while the provider inserts needles into the muscle during rest and while…310$60$19K
    95938In this procedure, the provider performs a short–latency somatosensory evoked potential study by stimulating the peripheral nerves or skin sites in both the upper limbs and lower limbs. The provider…470$30$15.8K
    95955In this procedure, the provider uses electroencephalographic monitoring of a patient during nonintracranial surgery like cardiac surgery or carotid stenting.360$40$14.6K
    95937The provider performs neuromuscular junction testing by repetitive stimulation of a nerve supplying a muscle to diagnose a patient with a known or suspected disorder of the neuromuscular junction.450$30$11.6K
    95870In this procedure, the provider performs needle electromyography, which refers to the recording and study of electrical activity of muscles using a needle electrode. Use this code when the provider…190$20$2.9K
    95865In this procedure, the provider uses an electromyograph to record electrical activity that muscle cells produce while the provider inserts needles into the muscles of the larynx. The provider can…20$60$1.1K
    51785This study measures the electrical activity in the anal or urethral sphincter muscles.10$70$980

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0453220350$20$14.1K
    95955210210$40$11.1K
    9593942050$90$10.7K
    95938520110$40$9.2K
    9586122030$70$6.6K
    95937110110$30$4.1K
    5178521010$200$3.6K
    95870310140$10$3.2K
    9586521020$60$1.2K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Melissa Balbuena-root, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alaska Native Tribal Health ConsortiumAKGeneral Acute Care Hospital$0$397.1M
    Ascension Se Wisconsin Hospital, IncWIGeneral Acute Care Hospital$0$94.4M
    Uahsf NeonatologyALNeonatal-Perinatal Medicine Physician$0$94M
    University Of Alabama Health Services Foundation, PCALPediatrics Physician$0$79.6M
    University Of Alabama Health Services Foundation, PC.ALMulti-Specialty Clinic/Center$0$77.1M
    Alaska Native Tribal Health ConsortiumAKTransportation Broker$0$65.5M
    Alaska Native Tribal Health ConsortiumAKGeneral Acute Care Hospital$0$33.1M
    Patient Housing At AnmcAKGeneral Acute Care Hospital$0$31M
    Saint Joseph Regional Medical Center-south Bend Campus, Inc.INGeneral Acute Care Hospital$0$18.7M
    University Of Alabama Health Services Foundation PCALClinic/Center$0$18.6M

    Nearby Providers

    Other providers in the same ZIP code as Melissa Balbuena-root, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pain Center Of Arizona PCAZInterventional Pain Medicine Physician$0$21.3M
    Arizona Dental Anesthesia PLLCAZDental Anesthesiology$0$11M
    Dvma, LLCAZInternal Medicine Physician$0$9.7M
    Joy SchechtmanAZRheumatology Physician$7.8M$0
    Surgery Center Of Peoria, LLCAZAmbulatory Surgical Clinic/Center$408.4K$7M
    Phoenix Medical Group, P.C.AZPulmonary Disease Physician$0$7M
    Joshua HollandAZFamily Medicine Physician$5.1M$0
    Ravi BhallaAZRheumatology Physician$2.8M$435.8K
    Ski Ambulatory Surgical Centers, LLCAZAmbulatory Surgical Clinic/Center$1.1M$1.7M
    Jason SamuelianAZRadiation Oncology Physician$2.1M$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. Arizona Distribution
    Melissa Balbuena-root — 1 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona