Active NPI 1336265164 Individual Practitioner Male Practitioner

Dr. Roderick Yumol Ballelos , DO

Emergency Medicine • Carmichael, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Roderick Ballelos, DO is a certified Emergency Medicine practicing in Carmichael, CA. With approximately 20 years of clinical experience since completing medical education in 2006, Dr. Ballelos delivers high-quality medical care to the local community at 6501 COYLE AVE.

Dr. Ballelos is affiliated with Shadow Emergency Physicians Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6501 Coyle Ave

Carmichael, CA 956080306

Telephone 5622304763

Associated Practice Facility / Clinic

🏢 Lucent Pathology Partners, Inc Facility NPI 1124098736

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Carmichael, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs +1.4 yrs vs City Avg

City Avg: 18.6 Yrs

State Avg: 22.9 Yrs

Regional Practice Density

20 Specialists

Practicing in Carmichael, CA (7995 Statewide)

Telehealth Adoption Rate

5.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

90.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ballelos (20 Years) 20 Yrs

Carmichael Specialty Average (18.6 Years) 18.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	174	173	$1888.00	$169.75
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	145	140	$83.00	$7.92
99284 Emergency department visit with moderate level of medical decision making	40	40	$1266.00	$115.86
99291 Critical care, first 30-74 minutes	36	36	$2134.00	$207.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	245	244	$1888.00	$178.37
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	116	113	$83.00	$8.19
99284 Emergency department visit with moderate level of medical decision making	62	62	$1266.00	$122.50
99291 Critical care, first 30-74 minutes	39	39	$2134.00	$215.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	332	324	$1888.00	$185.26
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	211	207	$83.00	$8.50
99291 Critical care, first 30-74 minutes	76	75	$2134.00	$225.88
99284 Emergency department visit with moderate level of medical decision making	40	40	$1266.00	$127.78
99283 Emergency department visit with low level of medical decision making	23	23	$853.00	$76.17
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	18	17	$1089.00	$88.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	215	210	$1888.00	$188.34
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	152	148	$83.00	$8.63
99291 Critical care, first 30-74 minutes	56	56	$2134.00	$229.45
99284 Emergency department visit with moderate level of medical decision making	23	22	$1266.00	$129.15
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	13	12	$1022.00	$152.33
99283 Emergency department visit with low level of medical decision making	13	12	$853.00	$76.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	172	169	$1888.00	$178.49
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	107	104	$83.00	$8.70
99291 Critical care, first 30-74 minutes	81	80	$2134.00	$228.25
99284 Emergency department visit with moderate level of medical decision making	23	23	$1266.00	$123.54
99283 Emergency department visit with low level of medical decision making	15	14	$853.00	$67.08
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	14	14	$1022.00	$151.10
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	12	12	$1089.00	$89.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	344	336	$1888.00	$173.23
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	187	177	$83.00	$8.58
99291 Critical care, first 30-74 minutes	103	102	$2134.00	$222.01
99284 Emergency department visit with moderate level of medical decision making	35	35	$1266.00	$116.42
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	26	26	$1022.00	$144.64
99283 Emergency department visit with low level of medical decision making	14	14	$853.00	$62.31
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	14	14	$1089.00	$87.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	326	318	$1888.00	$172.63
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	190	180	$83.00	$8.52
99291 Critical care, first 30-74 minutes	113	111	$2134.00	$223.12
99284 Emergency department visit with moderate level of medical decision making	39	39	$1266.00	$117.37
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	26	25	$1022.00	$143.33
99283 Emergency department visit with low level of medical decision making	15	15	$853.00	$61.87
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	14	14	$1089.00	$99.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	481	467	$1701.04	$173.73
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	262	248	$73.14	$8.53
99291 Critical care, first 30-74 minutes	137	131	$2018.36	$224.81
99284 Emergency department visit with moderate level of medical decision making	102	101	$1064.24	$117.93
99283 Emergency department visit with low level of medical decision making	47	47	$753.96	$62.19
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	18	18	$991.33	$144.32
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	15	15	$1053.93	$123.52
93042 Interpretation and report of electrical activity of heart using 1-3 leads	13	13	$114.00	$7.11

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License CA 20A 10818

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medical License

20A 10818 (CA)

Hospital & Practice Group Affiliations

Shadow Emergency Physicians Pllc

620 Shadow Ln, Las Vegas, NV 891064119

Phone: 9549395000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Amy Shapiro , RN, FNP

Nurse Practitioner - Family

NPI 1003043753

Registered Nurse, Family Nurse Practitioner

Dr. Loveleen Jhajj , MD

Student in an Organized Health Care Education/Training Program

NPI 1013710052

Doctor of Medicine (M.D.)

Dr. Roziqa Khalid , MD

Student in an Organized Health Care Education/Training Program

NPI 1013710946

Doctor of Medicine (M.D.)

Stefanie Troja , PA-C

Physician Assistant

NPI 1013713676

Physician Assistant (Certified)

Nathan Kostiv , NNP-BC

Nurse Practitioner - Neonatal, Critical Care

NPI 1023594579

NNPBC

Dr. Patricia Abraham-Armah , MD

Student in an Organized Health Care Education/Training Program

NPI 1023950839

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 23, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location July 23, 2009

Registered at 6501 COYLE AVE, CARMICHAEL, CA 956080306 (Tel: 5622304763)

📍

Updated Business Mailing Address July 23, 2009

Registered at 6501 COYLE AVE, CARMICHAEL, CA 956080306

👤

Provider Name / Credentials Updated July 23, 2009

Recorded as RODERICK BALLELOS, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2009

Emergency Medicine (License #20A 10818 in CA)

🟢

Initial NPI Registration & Enumeration March 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1336265164

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 22, 2007

Last Update: March 07, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6501 Coyle Ave

Carmichael, CA 956080306

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.