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

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

Erin Balk (NPI 1942615042)

Field	Value
Entity Type	Individual
Organization	Erin Balk
Address	1026 A Ave Ne
City	Cedar Rapids
State	IA
ZIP	52402
Taxonomy	Nurse Practitioner
NPI Enumerated	June 26, 2014

Payer Source	Total Paid
Medicare	$54.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	430	$60	$27K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	120	$90	$10.8K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	120	$80	$9.8K
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…	70	$70	$4.7K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	50	$40	$2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Iowa Distribution

Erin Balk — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	39	290	90	$70	$16K
99310	45	120	80	$90	$14.6K
99349	31	80	50	$80	$7.9K
99308	150	290	50	$50	$6.6K
99316	2	50	20	$80	$3.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Luke's Methodist Hospital	IA	General Acute Care Hospital	$0	$36.2M
Unitypoint At Home	IA	Durable Medical Equipment & Medical Supplies	$0	$16.5M
Unitypoint At Home	IA	Durable Medical Equipment & Medical Supplies	$0	$5M
Trinity Regional Medical Center	IA	Emergency Medicine Physician	$0	$4.6M
St. Luke's Methodist Hospital	IA	Cardiovascular Disease Physician	$0	$3.9M
Unitypoint At Home	IA	Durable Medical Equipment & Medical Supplies	$0	$3.8M
Unitypoint At Home	IL	Home Health Agency	$0	$3.5M
Unitypoint At Home	IA	Home Health Agency	$0	$3.3M
Cass County Memorial Hospital	IA	Critical Access Hospital	$0	$3.1M
Cedar Valley Pathologists PC	IA	Clinical Pathology/Laboratory Medicine Physician	$0	$1.8M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Discovery Living, Inc.	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$82M
Prk Williams Inc.	IA	In Home Supportive Care Agency	$0	$57.4M
Life Connection, L.c.	IA	Early Intervention Provider Agency	$0	$26.3M
Medical Laboratories Of Eastern Iowa Lc	IA	Clinical Medical Laboratory	$1.4M	$14.4M
East Central Iowa Acute Care, PLLC	IA	Emergency Medicine Physician	$0	$10.6M
Covenant Family Solutions, LLC	IA	Community/Behavioral Health Agency	$0	$8.5M
Radiology Consultants Of Iowa, Plc	IA	Diagnostic Radiology Physician	$0	$5.5M
Weland Clinical Laboratories, P.C.	IA	Clinical Medical Laboratory	$1.2M	$3.8M
Comfort Care Medicare, Inc	IA	Home Health Agency	$0	$3.9M
Gentle Dental, P.C.	IA	General Practice Dentistry	$0	$3.7M

Erin Balk — Billing Profile & Reimbursement Data

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Erin Balk — 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