Active NPI 1003153636 Individual Practitioner Female Practitioner

Claudia M. Balta , PA

Physician Assistant • Red Oak, IA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Claudia Balta, PA is a certified Physician Assistant practicing in Red Oak, IA. With approximately 14 years of clinical experience since completing medical education in 2012, Claudia Balta delivers high-quality medical care to the local community at 1400 SENATE AVE.

Claudia Balta is affiliated with Montgomery County Memorial Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1400 Senate Ave
Ste. 105

Red Oak, IA 515661271

Telephone 7126237250

Fax 7126237257

Associated Practice Facility / Clinic

🏢 Physicians Clinic, Inc. Facility NPI 1942408117

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Red Oak, IA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -5.0 yrs vs City Avg

City Avg: 19.0 Yrs

State Avg: 13.7 Yrs

Regional Practice Density

2 Specialists

Practicing in Red Oak, IA (1543 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Balta (14 Years) 14 Yrs

Red Oak Specialty Average (19.0 Years) 19.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	75	62	$243.00	$70.67
36415 Insertion of needle into vein for collection of blood sample	66	50	$26.00	$8.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	40	$276.00	$101.25
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	33	32	$35.00	$7.43
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	31	31	$268.00	$98.64
83036 Hemoglobin A1C level	26	20	$92.00	$9.23
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	16	11	$63.00	$11.18

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	141	91	$263.00	$102.08
36415 Insertion of needle into vein for collection of blood sample	134	93	$25.00	$2.93
99213 Established patient office or other outpatient visit, typically 15 minutes	131	102	$178.52	$72.46
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	80	68	$33.00	$7.68
83036 Hemoglobin A1C level	51	30	$88.00	$9.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	48	48	$255.00	$104.89
G0008 Administration of influenza virus vaccine	37	36	$33.78	$26.78
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	29	14	$60.00	$11.41
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	29	29	$65.00	$63.79
81001 Manual urinalysis test with examination using microscope, automated	23	21	$18.00	$3.14
0124A Fee covid-19 vac 13 res	20	20	$52.00	$36.31
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	11	11	$105.00	$50.84

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	155	94	$261.21	$105.00
36415 Insertion of needle into vein for collection of blood sample	144	89	$18.82	$2.95
99213 Established patient office or other outpatient visit, typically 15 minutes	132	102	$176.55	$73.02
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	97	80	$33.00	$7.71
83036 Hemoglobin A1C level	54	26	$88.00	$9.28
G0008 Administration of influenza virus vaccine	43	42	$20.00	$15.89
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	38	38	$175.60	$108.08
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	29	29	$65.00	$64.86
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	24	12	$60.00	$11.48
93000 Routine ekg using at least 12 leads including interpretation and report	21	21	$73.95	$11.87
81001 Manual urinalysis test with examination using microscope, automated	15	15	$18.00	$3.17
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	13	$45.00	$20.53
81003 Automated urinalysis test	12	11	$18.00	$2.25
82570 Creatinine level to test for kidney function or muscle injury	12	12	$28.00	$4.84
82043 Urine microalbumin (protein) level	12	12	$63.00	$5.40

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	157	98	$255.00	$86.98
36415 Insertion of needle into vein for collection of blood sample	120	81	$15.00	$2.91
99213 Established patient office or other outpatient visit, typically 15 minutes	94	78	$171.00	$60.35
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	79	67	$33.00	$7.65
83036 Hemoglobin A1C level	50	28	$88.00	$9.05
G0008 Administration of influenza virus vaccine	46	46	$20.00	$15.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	44	44	$110.79	$94.55
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	34	34	$65.00	$61.00
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	23	14	$60.00	$11.59
81001 Manual urinalysis test with examination using microscope, automated	21	18	$18.00	$3.16
93000 Routine ekg using at least 12 leads including interpretation and report	17	16	$73.00	$13.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	14	$343.00	$119.45
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$25.00	$17.79
82570 Creatinine level to test for kidney function or muscle injury	11	11	$28.00	$5.15
82043 Urine microalbumin (protein) level	11	11	$63.00	$5.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	136	89	$15.00	$2.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	123	82	$255.00	$87.21
99213 Established patient office or other outpatient visit, typically 15 minutes	121	88	$171.00	$58.44
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	89	80	$33.00	$8.38
83036 Hemoglobin A1C level	46	23	$88.00	$10.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	43	43	$110.50	$93.72
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	40	15	$60.00	$13.37
G0008 Administration of influenza virus vaccine	36	36	$20.00	$15.44
90653 Vaccine for influenza for injection into muscle	27	27	$59.63	$57.99
81001 Manual urinalysis test with examination using microscope, automated	21	21	$18.00	$3.45
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	13	$173.00	$59.33
93000 Routine ekg using at least 12 leads including interpretation and report	19	18	$73.00	$13.51
82043 Urine microalbumin (protein) level	16	16	$63.00	$5.98
82570 Creatinine level to test for kidney function or muscle injury	16	16	$28.00	$5.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	13	$327.00	$111.37
G0009 Administration of pneumococcal vaccine	14	14	$36.00	$15.44
81003 Automated urinalysis test	13	12	$18.00	$2.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$343.00	$117.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	160	117	$171.00	$57.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	127	88	$255.00	$85.77
36415 Insertion of needle into vein for collection of blood sample	114	84	$15.00	$2.92
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	74	67	$33.00	$9.40
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	39	19	$60.00	$16.22
83036 Hemoglobin A1C level	35	23	$88.00	$11.75
G0008 Administration of influenza virus vaccine	24	24	$20.00	$18.94
93000 Routine ekg using at least 12 leads including interpretation and report	23	23	$73.00	$13.32
81003 Automated urinalysis test	18	18	$14.22	$2.71
90653 Vaccine for influenza for injection into muscle	18	18	$55.00	$53.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	16	$343.00	$116.03
G0009 Administration of pneumococcal vaccine	13	13	$35.08	$18.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$327.00	$110.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	190	141	$171.00	$57.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	147	104	$255.00	$85.39
36415 Insertion of needle into vein for collection of blood sample	115	86	$15.00	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	83	74	$33.00	$10.45
G0008 Administration of influenza virus vaccine	42	41	$20.00	$19.60
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	39	25	$60.00	$19.96
93000 Routine ekg using at least 12 leads including interpretation and report	34	31	$73.00	$13.25
83036 Hemoglobin A1C level	32	22	$88.00	$13.05
90662 Influenza vaccine split virus, preservative free	30	30	$55.00	$48.05
81003 Automated urinalysis test	29	23	$14.14	$3.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	21	$327.00	$107.01
G0009 Administration of pneumococcal vaccine	19	19	$35.16	$23.27
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	17	$343.00	$114.68
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$216.00	$96.87
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	11	$26.67	$18.65
81001 Manual urinalysis test with examination using microscope, automated	12	12	$18.00	$4.26
82570 Creatinine level to test for kidney function or muscle injury	11	11	$28.00	$6.96

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IA 002362

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

47068731710 (NE)

Hospital & Practice Group Affiliations

Montgomery County Memorial Hospital

1400 Senate Ave, Red Oak, IA 515661271

Phone: 7126236335

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Brian Couse , MD

Family Medicine

NPI 1013904812

Doctor of Medicine (M.D.)

Lila Lassen , ARNP

Nurse Practitioner

NPI 1245488543

Advanced Registered Nurse Practitioner

Dr. William Butz , MD

Family Medicine

NPI 1649384868

Doctor of Medicine (M.D.)

Lizabeth Johnson , APRN

Nurse Practitioner - Family

NPI 1720752991

Advanced Practice Registered Nurse

Dr. Warren Hayes , MD

Family Medicine

NPI 1932215274

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 June 09, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location June 09, 2014

Registered at 1400 SENATE AVE, STE. 105, RED OAK, IA 515661271 (Tel: 7126237250)

📍

Updated Business Mailing Address June 09, 2014

Registered at PO BOX 3755, OMAHA, NE 681030755 (Tel: 7126237250)

👤

Provider Name / Credentials Updated June 09, 2014

Recorded as CLAUDIA BALTA, P.A.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2014

Physician Assistant (License #002362 in IA)

🟢

Initial NPI Registration & Enumeration January 16, 2013

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: 1003153636

Entity Type:

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

Enumeration Date: January 16, 2013

Last Update: June 09, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 3755

Omaha, NE 681030755

Phone: 7126237250

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.