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

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

Enrique Ballesteros (NPI 1972594497)

Field	Value
Entity Type	Individual
Organization	Enrique Ballesteros
Address	263 Farmington Ave
City	Farmington
State	CT
ZIP	06030
Taxonomy	Anatomic Pathology & Clinical Pathology Physician
NPI Enumerated	November 3, 2005

Payer Source	Total Paid
Medicare	$6.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
88189	The clinician, typically a pathologist, interprets flow cytometry results of 16 or more markers.	30	$70	$1.9K
83020	The lab analyst records and calculates the hemoglobin fractions in a whole blood sample demonstrated by this hemoglobin fractionation test by electrophoresis.	90	$10	$1.3K
88341	The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…	50	$20	$1K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	20	$30	$530
85097	The clinician, typically a pathologist, interprets a smear prepared from a sample of bone marrow.	10	$40	$480
88342	The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…	20	$30	$410
88313	The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,…	30	$10	$290
88311	The lab analyst performs a decalcification procedure on a specimen. Dissolving the calcium makes it easier to perform certain examinations.	10	$10	$120

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Enrique Ballesteros — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
88305	201	200	410	$40	$44.6K
88189	21	20	80	$70	$18.3K
88313	83	100	60	$50	$11K
88341	136	150	160	$40	$8.9K
88342	167	170	80	$50	$8K
85097	32	40	20	$50	$2.5K
83020	1	10	50	$10	$730
88311	98	100	30	$10	$600

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Asad Nasir	FL	Nuclear Medicine Physician	$2.2M	$0
Jonathan Moseley	CT	Internal Medicine Physician	$740	$1.2M
Hanspaul Makkar	CT	MOHS-Micrographic Surgery Physician	$1M	$0
Tamer Ghaly	CT	Pain Medicine (Anesthesiology) Physician	$585.8K	$0
Sean Whalen	NY	Nuclear Medicine Physician	$555.5K	$0
Hao Feng	CT	MOHS-Micrographic Surgery Physician	$527.2K	$0
Jill Wruble	MN	Diagnostic Radiology Physician	$387K	$0
Marc Hamet	CT	Vascular & Interventional Radiology Physician	$272.5K	$370
Edmund Farris	NY	Ophthalmology Physician	$267.6K	$50
Maritza Perez	CT	Dermatology Physician	$250K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
State Of Connecticut	CT	General Acute Care Hospital	$0	$205.8M
University Of Connecticut Health Center	CT	General Practice Physician	$0	$34.8M
University Dentists	CT	Dental Clinic/Center	$0	$13.8M
Stephen Grund	CT	Hematology (Internal Medicine) Physician	$0	$1.4M
Gayle Klein	CT	Psychiatry Physician	$0	$1.3M
Amish Patel	CT	Diagnostic Radiology Physician	$284.6K	$0
Daniel Witmer	CT	Orthopaedic Surgery Physician	$214.5K	$0
Elizabeth Simmons	CT	Ophthalmology Physician	$205.3K	$0
Asante Mendes	CT	Psychiatry Physician	$196.7K	$0
Naveed Alvi	CT	Diagnostic Radiology Physician	$131.1K	$0

Enrique Ballesteros — Billing Profile & Reimbursement Data

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Enrique Ballesteros — 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