Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $590.01 | 5 | 100.0% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Alkermes, Inc. | $590.01 | 5 | $0 (2020) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2020 | $114.88 | 1 | Alkermes, Inc. ($114.88) |
| 2019 | $475.13 | 4 | Alkermes, Inc. ($475.13) |
All Payment Transactions
5 individual payment records from CMS Open Payments
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 02/28/2020 | Alkermes, Inc. | ARISTADA (Drug), ARISTADA, ARISTADA | Food and Beverage | In-kind items and services | $114.88 | General |
| Category: CNS | ||||||
| 09/30/2019 | Alkermes, Inc. | ARISTADA (Drug), ARISTADA, ARISTADA | Food and Beverage | In-kind items and services | $121.33 | General |
| Category: CNS | ||||||
| 05/22/2019 | Alkermes, Inc. | VIVITROL (Drug) | Food and Beverage | In-kind items and services | $116.20 | General |
| Category: CNS | ||||||
| 05/09/2019 | Alkermes, Inc. | ARISTADA (Drug), ARISTADA, ARISTADA | Food and Beverage | In-kind items and services | $125.00 | General |
| Category: CNS | ||||||
| 05/08/2019 | Alkermes, Inc. | ARISTADA (Drug), ARISTADA, ARISTADA | Food and Beverage | In-kind items and services | $112.60 | General |
| Category: CNS | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2022 | 5 | 245 | 486 | $109,507 | $33,211 |
| 2021 | 2 | 39 | 270 | $61,995 | $16,298 |
| 2020 | 2 | 29 | 159 | $16,205 | $9,664 |
All Medicare Procedures & Services
9 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 123 | 195 | $59,578 | $17,933 | 30.1% |
| 99231 | Follow-up hospital inpatient care per day, typically 15 minutes | Facility | 2022 | 34 | 153 | $15,780 | $4,826 | 30.6% |
| 99232 | Follow-up hospital inpatient care per day, typically 25 minutes | Facility | 2022 | 27 | 74 | $14,044 | $4,319 | 30.8% |
| 99239 | Hospital discharge day management, more than 30 minutes | Facility | 2022 | 36 | 38 | $10,703 | $3,286 | 30.7% |
| 99222 | Initial hospital inpatient care per day, typically 50 minutes | Facility | 2022 | 25 | 26 | $9,401 | $2,847 | 30.3% |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | Facility | 2021 | 25 | 255 | $57,120 | $15,041 | 26.3% |
| 99239 | Hospital discharge day management, more than 30 minutes | Facility | 2021 | 14 | 15 | $4,875 | $1,257 | 25.8% |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | Facility | 2020 | 18 | 148 | $14,060 | $8,988 | 63.9% |
| 99238 | Hospital discharge day management, 30 minutes or less | Facility | 2020 | 11 | 11 | $2,145 | $676.17 | 31.5% |
About Dr. Manuel Balderas, MD
Dr. Manuel Balderas, MD is a Addiction Medicine healthcare provider based in Burlington, Massachusetts. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 08/16/2006. The National Provider Identifier (NPI) number assigned to this provider is 1851404545.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Manuel Balderas, MD has received a total of $590.01 in payments from pharmaceutical and medical device companies, with $114.88 received in 2020. These payments were reported across 5 transactions from 1 company. The most common payment nature is "Food and Beverage" ($590.01).
As a Medicare-enrolled provider, Balderas has provided services to 313 Medicare beneficiaries, totaling 915 services with total Medicare billing of $59,173. Data is available for 3 years (2020–2022), covering 9 distinct procedure/service records.
Practice Information
- Specialty Addiction Medicine
- Other Specialties Addiction Psychiatry, Psychiatry
- Location Burlington, MA
- Active Since 08/16/2006
- Last Updated 01/24/2023
- Taxonomy Code 2084A0401X
- Entity Type Individual
- Practice Solo Practitioner
- NPI Number 1851404545
Products in Payments
- ARISTADA (Drug) $473.81
- VIVITROL (Drug) $116.20
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Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.