Active NPI 1134420367 Individual Practitioner Female Practitioner

Alicia Irene Balderas , PA-C

Physician Assistant • Amarillo, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Alicia Balderas, PA-C is a certified Physician Assistant practicing in Amarillo, TX. With approximately 16 years of clinical experience since completing medical education in 2010, Alicia Balderas delivers high-quality medical care to the local community at 1616 S KENTUCKY ST STE B100.

Alicia Balderas is affiliated with Dallam-Hartley Counties Hospital District and accepts Medicare assignment.

Frequently performed procedures and clinical services include residence visit for established patient with high level of medical decision making, per day, if using time, at least, residence visit for established patient with moderate level of medical decision making, per day, if using time, at least, chronic care management services, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1616 S Kentucky St Ste B100

Amarillo, TX 791022224

Telephone 8063558900

Associated Practice Facility / Clinic

🏢 Amarillo Advanced Imaging Associates, Pllc Facility NPI 1427165687

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Amarillo, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs +3.1 yrs vs City Avg

City Avg: 12.9 Yrs

State Avg: 13.9 Yrs

Regional Practice Density

61 Specialists

Practicing in Amarillo, TX (11140 Statewide)

Telehealth Adoption Rate

8.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Balderas (16 Years) 16 Yrs

Amarillo Specialty Average (12.9 Years) 12.9 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
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	152	42	$248.23	$152.00
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	56	32	$239.52	$104.15
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	54	19	$112.00	$50.91
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	21	15	$68.00	$33.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	208	40	$237.16	$144.19
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	100	24	$228.82	$104.08
99354 Prolonged office or other outpatient service first hour	35	35	$190.98	$104.44
99442 Telephone medical discussion with physician, 11-20 minutes	21	15	$85.16	$70.67
99344 New patient home visit, typically 1 hour	11	11	$236.23	$146.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	402	41	$171.41	$148.26
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	78	28	$123.79	$107.19
99354 Prolonged office or other outpatient service first hour	45	30	$129.46	$107.20
99442 Telephone medical discussion with physician, 11-20 minutes	30	22	$87.38	$76.55
99355 Prolonged outpatient service, each additional 30 minutes	14	13	$110.83	$80.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	194	21	$5.00	$0.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	93	$158.90	$89.86
J0696 Injection, ceftriaxone sodium, per 250 mg	84	21	$15.00	$0.57
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	80	78	$162.00	$45.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	60	$159.61	$89.86
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	55	42	$40.00	$11.86
87804 Detection test by immunoassay with direct visual observation for influenza virus	44	20	$40.00	$16.27
99213 Established patient office or other outpatient visit, typically 15 minutes	34	33	$122.35	$62.85
71046 X-ray of chest, 2 views	22	22	$60.00	$20.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	21	$218.18	$137.48
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	20	14	$199.00	$152.59
81003 Automated urinalysis test	17	17	$15.00	$2.21
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$129.17	$63.93
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	11	11	$30.00	$16.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	189	22	$5.00	$0.12
J0696 Injection, ceftriaxone sodium, per 250 mg	102	25	$15.00	$0.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	72	$159.71	$89.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	56	$160.00	$89.22
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	55	43	$40.00	$13.70
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	52	12	$10.36	$1.56
87804 Detection test by immunoassay with direct visual observation for influenza virus	37	19	$40.00	$16.22
81003 Automated urinalysis test	36	32	$15.00	$2.44
71046 X-ray of chest, 2 views	19	16	$60.00	$19.43
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$120.00	$61.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$220.00	$135.85
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	13	13	$30.00	$16.20

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	212	200	$207.00	$86.80
J1100 Injection, dexamethasone sodium phosphate, 1 mg	210	23	$1.20	$0.12
J0696 Injection, ceftriaxone sodium, per 250 mg	128	32	$10.00	$0.61
99213 Established patient office or other outpatient visit, typically 15 minutes	114	109	$140.00	$59.38
87804 Detection test by immunoassay with direct visual observation for influenza virus	80	40	$47.00	$16.22
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	75	68	$50.00	$16.48
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	60	15	$6.00	$1.83
87086 Bacterial colony count, urine	40	38	$45.00	$9.61
81001 Manual urinalysis test with examination using microscope, automated	37	35	$24.00	$3.79
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	29	27	$30.00	$10.16
87077 Bacterial culture for aerobic isolates	27	26	$28.00	$9.47
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	25	24	$63.00	$16.20
94640 Inhalation treatment for airway obstruction or sputum production	23	23	$51.00	$14.65
36415 Insertion of needle into vein for collection of blood sample	17	16	$8.00	$2.94
80053 Blood test, comprehensive group of blood chemicals	16	16	$67.00	$12.78
82948 Blood glucose (sugar) measurement using reagent strip	13	13	$19.00	$4.94
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	13	13	$5.00	$0.14
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	12	12	$34.00	$9.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	468	47	$0.49	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	216	203	$132.39	$86.16
99213 Established patient office or other outpatient visit, typically 15 minutes	159	154	$96.05	$59.05
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	99	83	$33.17	$20.45
J0696 Injection, ceftriaxone sodium, per 250 mg	92	22	$3.13	$0.64
87804 Detection test by immunoassay with direct visual observation for influenza virus	92	46	$23.08	$16.10
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	72	18	$3.43	$1.79
81001 Manual urinalysis test with examination using microscope, automated	44	44	$7.47	$4.26
J7614 Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg	38	18	$2.18	$0.06
87086 Bacterial colony count, urine	36	36	$14.84	$10.85
36415 Insertion of needle into vein for collection of blood sample	31	30	$4.77	$2.94
94640 Inhalation treatment for airway obstruction or sputum production	28	27	$26.91	$14.49
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	25	25	$15.32	$11.62
80053 Blood test, comprehensive group of blood chemicals	23	22	$35.04	$13.28
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	22	22	$31.25	$14.88
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	22	22	$20.21	$9.97
G0008 Administration of influenza virus vaccine	19	19	$10.45	$10.25
90662 Influenza vaccine split virus, preservative free	16	16	$74.43	$46.51
87077 Bacterial culture for aerobic isolates	15	15	$14.46	$10.86

Medical Specialties & State Licenses

CMS Verified: 2024-11-13

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License TX PA07004

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.

Hospital & Practice Group Affiliations

Dallam-Hartley Counties Hospital District

Po Box, Dalhart, TX 79022

Practice Associates & Co-Workers

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

1 Associated Practitioners

Britni Orr , FNP-C

Nurse Practitioner - Family

NPI 1669917498

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Business Mailing Address November 13, 2024

Registered at 206 E 16TH ST, DALHART, TX 790224802 (Tel: 8062449267)

👤

Provider Name / Credentials Updated November 13, 2024

Recorded as ALICIA BALDERAS, PA-C

📍

Updated Practice Location April 30, 2021

Registered at 1616 S KENTUCKY ST STE B100, AMARILLO, TX 791022224 (Tel: 8063558900)

📍

Updated Business Mailing Address April 30, 2021

Registered at 1616 S KENTUCKY ST STE B100, AMARILLO, TX 791022224 (Tel: 8063558900)

✅

NPI Profile Active November 28, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location November 28, 2011

Registered at 1307 CLEVELAND AVE, FRIONA, TX 79035 (Tel: 8062502781)

📍

Updated Business Mailing Address November 28, 2011

Registered at 704 S BIRMINGHAM ST, AMARILLO, TX 791041626 (Tel: 8063220099)

👤

Provider Name / Credentials Updated November 28, 2011

Recorded as ALICIA BALDERAS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2011

Emergency Medicine (License #PA07004 in TX)

🟢

Initial NPI Registration & Enumeration November 04, 2010

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: 1134420367

Entity Type:

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

Enumeration Date: November 04, 2010

Last Update: November 13, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

206 E 16th St

Dalhart, TX 790224802

Phone: 8062449267

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.