Active NPI 1114934759 Individual Practitioner Male Practitioner

Keith E. Ballinger , PA-C

Urology • Mattoon, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Keith Ballinger, PA-C is a certified Urology practicing in Mattoon, IL. With approximately 24 years of clinical experience since completing medical education in 2002, Keith Ballinger delivers high-quality medical care to the local community at 1000 HEALTH CENTER DR STE 305.

Keith Ballinger is affiliated with Sarah Bush Lincoln Health Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, electronic assessment of bladder emptying, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1000 Health Center Dr Ste 305

Mattoon, IL 619384644

Telephone 2172584186

Fax 2173484185

Associated Practice Facility / Clinic

🏢 Urology Associates, S.c. Facility NPI 1427066018

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Mattoon, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs -0.7 yrs vs City Avg

City Avg: 24.7 Yrs

State Avg: 26.7 Yrs

Regional Practice Density

4 Specialists

Practicing in Mattoon, IL (663 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

79.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ballinger (24 Years) 24 Yrs

Mattoon Specialty Average (24.7 Years) 24.7 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	426	286	$285.41	$81.79
51741 Electronic assessment of bladder emptying	181	146	$241.57	$6.83
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	142	123	$40.00	$13.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	102	$280.85	$92.81
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	92	80	$392.99	$121.53
51798 Ultrasound measurement of bladder capacity after voiding	73	67	$74.00	$10.46
81003 Automated urinalysis test	65	56	$26.00	$2.20
51741 Electronic assessment of bladder emptying	58	45	$239.72	$7.17
51702 Simple insertion of temporary bladder tube	43	17	$404.53	$21.34
51700 Simple bladder irrigation and/or instillation	38	32	$369.11	$25.02
99213 Established patient office or other outpatient visit, typically 15 minutes	31	27	$190.84	$55.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	24	$386.80	$134.09
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	22	22	$40.00	$13.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$463.00	$106.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	348	219	$272.26	$81.74
81003 Automated urinalysis test	197	117	$25.49	$2.20
51798 Ultrasound measurement of bladder capacity after voiding	188	114	$72.50	$10.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	162	107	$268.67	$105.87
51741 Electronic assessment of bladder emptying	126	88	$231.56	$6.83
51700 Simple bladder irrigation and/or instillation	64	32	$352.69	$25.55
51741 Electronic assessment of bladder emptying	50	33	$232.00	$7.13
99213 Established patient office or other outpatient visit, typically 15 minutes	46	31	$169.09	$55.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	43	37	$382.02	$120.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$428.45	$112.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$430.00	$138.76
99213 Established patient office or other outpatient visit, typically 15 minutes	24	17	$172.29	$74.73
51702 Simple insertion of temporary bladder tube	24	14	$388.54	$21.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	12	$375.86	$148.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	231	122	$167.64	$106.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	168	109	$257.23	$82.25
51741 Electronic assessment of bladder emptying	88	67	$225.39	$6.32
99213 Established patient office or other outpatient visit, typically 15 minutes	78	64	$157.15	$56.23
51700 Simple bladder irrigation and/or instillation	73	35	$345.47	$26.28
99213 Established patient office or other outpatient visit, typically 15 minutes	69	59	$111.68	$74.61
82962 Blood glucose (sugar) test performed by hand-held instrument	39	24	$35.46	$3.25
51798 Ultrasound measurement of bladder capacity after voiding	26	21	$71.00	$9.82
81003 Automated urinalysis test	26	22	$24.88	$2.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$420.38	$114.06
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	16	16	$107.50	$5.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$250.67	$109.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	281	120	$155.99	$107.12
99213 Established patient office or other outpatient visit, typically 15 minutes	130	83	$105.96	$75.45
82962 Blood glucose (sugar) test performed by hand-held instrument	82	30	$33.73	$3.28
G0008 Administration of influenza virus vaccine	51	51	$28.00	$15.89
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	49	49	$57.10	$56.14
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	32	32	$365.56	$139.64
G0009 Administration of pneumococcal vaccine	19	19	$26.95	$16.31
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$169.38	$125.17
99496 Transitional care management services for problem of high complexity	14	11	$445.71	$214.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	338	134	$149.43	$88.91
82962 Blood glucose (sugar) test performed by hand-held instrument	79	33	$31.96	$3.23
99213 Established patient office or other outpatient visit, typically 15 minutes	70	47	$100.71	$62.59
G0008 Administration of influenza virus vaccine	61	59	$28.57	$15.89
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	56	56	$45.00	$44.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	19	$208.50	$121.10
99496 Transitional care management services for problem of high complexity	18	14	$427.50	$202.69
99442 Telephone medical discussion with physician, 11-20 minutes	14	14	$98.21	$60.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	455	145	$141.20	$89.67
82962 Blood glucose (sugar) test performed by hand-held instrument	111	36	$30.30	$3.19
99213 Established patient office or other outpatient visit, typically 15 minutes	76	53	$95.76	$61.48
G0008 Administration of influenza virus vaccine	47	47	$27.00	$15.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	38	$219.71	$115.97
90662 Influenza vaccine split virus, preservative free	26	26	$42.00	$41.16
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	22	22	$21.00	$18.65
94640 Inhalation treatment for airway obstruction or sputum production	18	16	$29.89	$14.36
99496 Transitional care management services for problem of high complexity	14	14	$404.14	$191.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	481	169	$138.00	$88.80
99213 Established patient office or other outpatient visit, typically 15 minutes	156	90	$93.00	$59.80
82962 Blood glucose (sugar) test performed by hand-held instrument	112	41	$29.00	$3.18
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	59	58	$20.00	$18.65
G0008 Administration of influenza virus vaccine	55	54	$25.00	$19.39
94640 Inhalation treatment for airway obstruction or sputum production	27	20	$29.00	$14.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	22	$307.00	$119.08
G0009 Administration of pneumococcal vaccine	24	24	$25.00	$19.39
81003 Automated urinalysis test	16	14	$20.00	$2.71
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$149.00	$105.59
99496 Transitional care management services for problem of high complexity	14	14	$397.00	$190.97
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	11	11	$50.00	$7.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	539	227	$134.35	$88.12
36415 Insertion of needle into vein for collection of blood sample	157	110	$11.00	$2.94
82962 Blood glucose (sugar) test performed by hand-held instrument	156	61	$27.74	$3.15
99213 Established patient office or other outpatient visit, typically 15 minutes	92	67	$91.00	$59.85
G0008 Administration of influenza virus vaccine	48	48	$24.92	$23.72
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	43	40	$21.00	$7.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	40	37	$273.18	$118.92
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	36	36	$20.00	$18.65
94640 Inhalation treatment for airway obstruction or sputum production	31	25	$27.84	$14.40
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	26	15	$42.00	$20.32
81003 Automated urinalysis test	25	23	$19.52	$3.02
83036 Hemoglobin A1C level	22	18	$56.82	$13.05
90653 Vaccine for influenza for injection into muscle	14	14	$33.00	$32.34
99496 Transitional care management services for problem of high complexity	13	12	$397.00	$188.56

Medical Specialties & State Licenses

CMS Verified: 2024-10-22

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License IL 085001872

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License IL 085001872

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Sarah Bush Lincoln Health Center

101 Professional Plz, Mattoon, IL 619389252

Phone: 2172383730

Sarah Bush Lincoln Health Center

1000 Health Ctr Dr, Mattoon, IL 619384644

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Julia Fiuk , MD

Urology

NPI 1124467097

Doctor of Medicine (M.D.)

Jodi Morrisey , APN

Nurse Practitioner

NPI 1487948303

Advanced Practice Nurse

Mary Jo Bierman , APN

Nurse Practitioner - Family

NPI 1588273916

Advanced Practice Nurse

Dr. David Didomenico , MD DO

Urology

NPI 1740297803

MDDO

Dr. Roger Rives , MD

Urology

NPI 1861416372

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events

📍

Updated Business Mailing Address July 25, 2024

Registered at PO BOX 372, MATTOON, IL 619380372

📍

Updated Practice Location November 11, 2022

Registered at 1000 HEALTH CENTER DR STE 305, MATTOON, IL 619384644 (Tel: 2172584186)

📍

Updated Business Mailing Address November 12, 2018

Registered at 1005 HEALTH CENTER DR STE 201, MATTOON, IL 619384693 (Tel: 2172386055)

✅

NPI Profile Active November 03, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location November 03, 2017

Registered at 211 S WALNUT ST, ARTHUR, IL 619111269 (Tel: 2175433444)

📍

Updated Business Mailing Address November 03, 2017

Registered at 211 S WALNUT ST, ARTHUR, IL 619111269 (Tel: 2175433444)

👤

Provider Name / Credentials Updated November 03, 2017

Recorded as KEITH BALLINGER, PA C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2017

Physician Assistant (License #085001872 in IL)

✅

NPI Profile Active June 01, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location June 01, 2012

Registered at 168 COURTHOUSE SQUARE, TOLEDO, IL 62468 (Tel: 2178493151)

📍

Updated Business Mailing Address June 01, 2012

Registered at 1005 HEALTH CENTER DR # I, SYSTEM PRACTICES, SUITE 202, MATTOON, IL 619384693 (Tel: 2172582576)

👤

Provider Name / Credentials Updated June 01, 2012

Recorded as KEITH BALLINGER, PA C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2012

Physician Assistant (License #085001872 in IL)

🟢

Initial NPI Registration & Enumeration August 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114934759

Entity Type:

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

Enumeration Date: August 02, 2006

Last Update: October 22, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 372

Mattoon, IL 619380372

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

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