Active NPI 1548219959 Individual Practitioner Male Practitioner

Dr. Bill M Balch , MD

Internal Medicine • Denison, TX

Professional Overview & Biography Verified Profile Summary

Dr. Bill Balch, MD is a certified Internal Medicine practicing in Denison, TX. With approximately 45 years of clinical experience since graduating from University Of Texas Southwestern Medical School At Dallas in 1981, Dr. Balch delivers high-quality medical care to the local community at 5012 S US HIGHWAY 75.

Dr. Balch maintains professional affiliations with Texomacare, Legacy Healthcare Services Inc, The Rehabilitation Center Therapeutic Solutions For Children And Adul and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include injection, testosterone cypionate, 1 mg, injection, methylprednisolone acetate, 1 mg, injection, denosumab, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5012 S Us Highway 75
Suite 300

Denison, TX 750204587

Telephone 9034166015

Fax 9034166132

Associated Practice Facility / Clinic

🏢 Texomacare Facility NPI 1740233592

Medicare Profile & Education

Medical School

University Of Texas Southwestern Medical School At Dallas

Graduation Year

1981

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Denison, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs +14.8 yrs vs City Avg

City Avg: 30.2 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

21 Specialists

Practicing in Denison, TX (9538 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Balch (45 Years) 45 Yrs

Denison Specialty Average (30.2 Years) 30.2 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
J1071 Injection, testosterone cypionate, 1 mg	25,300	13	$0.06	$0.02
J1010 Injection, methylprednisolone acetate, 1 mg	11,642	62	$1.01	$0.13
J0897 Injection, denosumab, 1 mg	4,202	39	$50.51	$25.62
36415 Insertion of needle into vein for collection of blood sample	595	356	$17.00	$8.64
80053 Blood test, comprehensive group of blood chemicals	521	338	$71.00	$10.27
99213 Established patient office or other outpatient visit, typically 15 minutes	516	311	$177.81	$87.73
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	500	335	$50.00	$7.57
80061 Blood test, lipids (cholesterol and triglycerides)	472	328	$45.00	$13.01
84439 Thyroxine (thyroid chemical), free	413	304	$18.00	$8.80
84443 Blood test, thyroid stimulating hormone (TSH)	403	298	$77.00	$16.42
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	333	333	$254.00	$126.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	297	273	$255.00	$124.13
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	275	118	$49.00	$13.80
83036 Hemoglobin A1C level	183	109	$19.96	$9.52
81003 Automated urinalysis test	153	144	$8.00	$2.17
84153 Psa (prostate specific antigen) measurement, total	130	118	$37.00	$17.88
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	129	35	$81.00	$40.39
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	121	81	$339.20	$167.61
82044 Urine microalbumin (protein) analysis	119	83	$12.00	$6.11
93000 Routine ekg using at least 12 leads including interpretation and report	116	108	$52.00	$13.74
81001 Manual urinalysis test with examination using microscope, automated	99	84	$6.93	$3.11
G0008 Administration of influenza virus vaccine	94	92	$61.29	$31.03
90662 Influenza vaccine split virus, preservative free	90	88	$168.00	$80.72
J1040 Injection, methylprednisolone acetate, 80 mg	61	29	$36.00	$9.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	53	40	$154.72	$76.46
99495 Transitional care management services for problem of at least moderate complexity	30	30	$401.00	$200.00
71046 X-ray of chest, 2 views	27	25	$67.00	$32.16
G0180 Physician or allowed practitioner 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 and	26	25	$103.38	$51.70
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	25	24	$9.00	$4.18
20610 Aspiration and/or injection of fluid from large joint	24	17	$160.00	$73.41
93880 Ultrasound of both sides of head and neck blood flow	17	17	$379.00	$180.10
84481 Thyroid hormone, t3 measurement, free	17	15	$34.00	$16.60
69210 Removal of impacted ear wax	16	15	$94.00	$46.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	4,260	38	$48.20	$23.22
36415 Insertion of needle into vein for collection of blood sample	658	408	$15.76	$8.38
80053 Blood test, comprehensive group of blood chemicals	591	393	$63.30	$10.29
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	572	386	$46.49	$7.60
99213 Established patient office or other outpatient visit, typically 15 minutes	542	323	$178.42	$86.70
80061 Blood test, lipids (cholesterol and triglycerides)	516	368	$69.19	$13.00
84443 Blood test, thyroid stimulating hormone (TSH)	464	345	$70.33	$16.46
84439 Thyroxine (thyroid chemical), free	462	345	$31.46	$8.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	338	302	$253.42	$123.43
J1040 Injection, methylprednisolone acetate, 80 mg	335	113	$35.60	$11.79
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	321	321	$256.57	$125.04
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	296	134	$49.00	$13.66
83036 Hemoglobin A1C level	210	133	$29.67	$9.30
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	151	43	$110.21	$39.85
93000 Routine ekg using at least 12 leads including interpretation and report	148	139	$79.99	$13.83
82044 Urine microalbumin (protein) analysis	147	103	$15.76	$6.03
84153 Psa (prostate specific antigen) measurement, total	144	132	$63.67	$18.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	141	102	$377.47	$168.37
81003 Automated urinalysis test	129	125	$10.95	$2.20
81001 Manual urinalysis test with examination using microscope, automated	126	109	$15.78	$3.11
G0008 Administration of influenza virus vaccine	113	113	$40.00	$29.51
90662 Influenza vaccine split virus, preservative free	110	110	$165.14	$71.65
71046 X-ray of chest, 2 views	45	44	$94.87	$31.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	33	$146.35	$76.74
99495 Transitional care management services for problem of at least moderate complexity	39	38	$401.72	$197.30
20610 Aspiration and/or injection of fluid from large joint	35	26	$197.49	$72.55
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	28	26	$17.64	$4.03
G0180 Physician or allowed practitioner 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 and	23	23	$131.22	$50.44
G0009 Administration of pneumococcal vaccine	17	17	$50.00	$29.51
69210 Removal of impacted ear wax	17	16	$103.18	$45.96
90670 Pneumococcal vaccine for injection into muscle	14	14	$442.07	$252.83
84550 Uric acid level, blood	13	11	$20.69	$4.43
72100 X-ray of lower and sacral spine, 2-3 views	13	13	$117.92	$38.65
93880 Ultrasound of both sides of head and neck blood flow	12	12	$421.00	$183.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	28,200	12	$0.26	$0.03
J0897 Injection, denosumab, 1 mg	3,420	31	$58.00	$21.58
36415 Insertion of needle into vein for collection of blood sample	747	432	$17.00	$2.96
80053 Blood test, comprehensive group of blood chemicals	680	431	$71.00	$10.31
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	653	426	$50.00	$7.57
99213 Established patient office or other outpatient visit, typically 15 minutes	589	363	$178.00	$86.91
80061 Blood test, lipids (cholesterol and triglycerides)	583	414	$83.00	$13.06
84443 Blood test, thyroid stimulating hormone (TSH)	517	378	$77.00	$16.54
84439 Thyroxine (thyroid chemical), free	492	372	$38.00	$8.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	376	346	$253.00	$124.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	356	356	$258.00	$128.30
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	290	134	$49.00	$13.75
J1040 Injection, methylprednisolone acetate, 80 mg	249	95	$36.00	$10.68
83036 Hemoglobin A1C level	240	150	$35.00	$9.44
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	168	51	$126.00	$39.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	167	131	$396.00	$191.66
93000 Routine ekg using at least 12 leads including interpretation and report	154	143	$90.00	$13.66
84153 Psa (prostate specific antigen) measurement, total	154	144	$77.00	$17.94
82044 Urine microalbumin (protein) analysis	148	107	$18.00	$6.08
G0008 Administration of influenza virus vaccine	141	137	$40.00	$28.44
90662 Influenza vaccine split virus, preservative free	136	132	$168.00	$67.69
81001 Manual urinalysis test with examination using microscope, automated	126	112	$22.00	$3.11
81003 Automated urinalysis test	120	117	$13.00	$2.19
G0180 Physician or allowed practitioner 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 and	54	49	$150.00	$51.71
71046 X-ray of chest, 2 views	51	47	$105.00	$32.45
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	49	36	$141.00	$68.88
J1030 Injection, methylprednisolone acetate, 40 mg	42	19	$20.00	$5.57
99495 Transitional care management services for problem of at least moderate complexity	42	39	$402.00	$197.90
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	31	29	$20.00	$4.21
20610 Aspiration and/or injection of fluid from large joint	28	17	$164.00	$62.54
G0009 Administration of pneumococcal vaccine	25	25	$50.00	$28.60
73502 X-ray of hip, 2-3 views	18	18	$78.00	$43.86
84481 Thyroid hormone, t3 measurement, free	17	17	$108.00	$16.71
72100 X-ray of lower and sacral spine, 2-3 views	17	17	$125.00	$39.58
69210 Removal of impacted ear wax	16	15	$107.00	$46.14
90670 Pneumococcal vaccine for injection into muscle	15	15	$644.00	$249.53
93880 Ultrasound of both sides of head and neck blood flow	15	15	$435.00	$190.40
99496 Transitional care management services for problem of high complexity	13	12	$445.00	$271.58
0013A Adm sarscov2 100mcg/0.5ml3rd	11	11	$57.00	$38.37
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$343.00	$131.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	36,600	17	$0.45	$0.03
J0897 Injection, denosumab, 1 mg	3,360	31	$63.11	$20.63
99213 Established patient office or other outpatient visit, typically 15 minutes	951	491	$160.34	$88.30
36415 Insertion of needle into vein for collection of blood sample	879	516	$17.00	$2.99
80053 Blood test, comprehensive group of blood chemicals	813	503	$71.00	$10.48
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	788	496	$50.00	$7.75
80061 Blood test, lipids (cholesterol and triglycerides)	708	475	$83.00	$13.30
84439 Thyroxine (thyroid chemical), free	660	449	$38.00	$8.93
84443 Blood test, thyroid stimulating hormone (TSH)	658	447	$77.00	$16.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	387	387	$243.62	$130.97
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	312	135	$50.35	$13.53
J1040 Injection, methylprednisolone acetate, 80 mg	304	106	$37.22	$10.26
83036 Hemoglobin A1C level	273	158	$35.00	$9.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	232	172	$396.00	$195.38
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	211	63	$126.00	$40.28
82044 Urine microalbumin (protein) analysis	182	118	$18.00	$6.16
93000 Routine ekg using at least 12 leads including interpretation and report	170	160	$90.00	$14.39
84153 Psa (prostate specific antigen) measurement, total	167	147	$77.00	$18.28
G0008 Administration of influenza virus vaccine	165	165	$40.30	$16.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	161	161	$238.43	$127.61
90662 Influenza vaccine split virus, preservative free	159	159	$168.96	$65.15
81003 Automated urinalysis test	136	133	$13.00	$2.24
81001 Manual urinalysis test with examination using microscope, automated	130	118	$22.00	$3.15
0012A Adm sarscov2 100mcg/0.5ml2nd	113	113	$57.00	$32.06
0011A Adm sarscov2 100mcg/0.5ml1st	86	86	$35.34	$17.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	82	61	$141.00	$70.36
0013A Adm sarscov2 100mcg/0.5ml3rd	51	51	$57.00	$38.69
71046 X-ray of chest, 2 views	49	47	$105.00	$33.07
85610 Blood test, clotting time	48	14	$18.00	$4.02
G0180 Physician or allowed practitioner 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 and	43	38	$150.00	$52.03
20610 Aspiration and/or injection of fluid from large joint	34	22	$164.00	$66.02
99495 Transitional care management services for problem of at least moderate complexity	33	30	$370.73	$203.14
0031A Adm sarscov2 vac ad26 .5ml	29	25	$54.00	$37.36
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	26	25	$20.00	$4.27
99496 Transitional care management services for problem of high complexity	23	23	$445.00	$275.17
69210 Removal of impacted ear wax	22	21	$107.00	$46.65
G0009 Administration of pneumococcal vaccine	19	19	$50.79	$16.51
81002 Urinalysis, manual test	16	16	$10.00	$3.48
84550 Uric acid level, blood	15	14	$28.00	$4.52
0003A Adm sarscov2 30mcg/0.3ml 3rd	14	14	$57.00	$38.69
72100 X-ray of lower and sacral spine, 2-3 views	13	12	$125.00	$39.18
90670 Pneumococcal vaccine for injection into muscle	13	13	$665.31	$240.52
73502 X-ray of hip, 2-3 views	12	12	$78.00	$45.93
73030 X-ray of shoulder, minimum of 2 views	12	12	$76.00	$33.63
84481 Thyroid hormone, t3 measurement, free	11	11	$108.00	$15.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	42,200	15	$0.08	$0.03
J0897 Injection, denosumab, 1 mg	2,340	29	$45.54	$19.54
99213 Established patient office or other outpatient visit, typically 15 minutes	1,058	535	$140.00	$72.45
36415 Insertion of needle into vein for collection of blood sample	887	531	$17.00	$2.98
80053 Blood test, comprehensive group of blood chemicals	801	525	$71.00	$10.40
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	753	511	$50.00	$7.69
80061 Blood test, lipids (cholesterol and triglycerides)	687	494	$83.00	$13.17
84443 Blood test, thyroid stimulating hormone (TSH)	631	458	$77.00	$16.63
84439 Thyroxine (thyroid chemical), free	627	457	$38.00	$8.87
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	474	474	$223.00	$112.59
J1040 Injection, methylprednisolone acetate, 80 mg	352	132	$31.99	$11.51
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	329	156	$49.00	$13.64
83036 Hemoglobin A1C level	260	170	$35.00	$9.52
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	253	72	$126.00	$39.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	238	184	$396.00	$198.23
G0008 Administration of influenza virus vaccine	189	185	$40.00	$16.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	181	181	$207.00	$105.91
90662 Influenza vaccine split virus, preservative free	164	164	$168.00	$60.98
84153 Psa (prostate specific antigen) measurement, total	144	134	$77.00	$18.27
93000 Routine ekg using at least 12 leads including interpretation and report	129	122	$90.00	$16.27
85610 Blood test, clotting time	108	16	$18.00	$4.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	96	70	$141.00	$70.65
81003 Automated urinalysis test	89	85	$13.00	$2.24
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	72	13	$38.00	$22.36
G0180 Physician or allowed practitioner 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 and	64	57	$150.00	$51.75
82044 Urine microalbumin (protein) analysis	63	60	$18.00	$6.13
81001 Manual urinalysis test with examination using microscope, automated	59	52	$22.00	$3.11
71046 X-ray of chest, 2 views	58	53	$105.00	$30.16
99495 Transitional care management services for problem of at least moderate complexity	49	42	$316.00	$180.05
81002 Urinalysis, manual test	37	35	$10.00	$3.47
G0009 Administration of pneumococcal vaccine	37	37	$50.00	$16.18
20610 Aspiration and/or injection of fluid from large joint	37	26	$164.00	$63.65
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	31	26	$20.00	$4.24
0011A Adm sarscov2 100mcg/0.5ml1st	27	27	$34.00	$16.94
69210 Removal of impacted ear wax	22	20	$107.00	$46.57
90670 Pneumococcal vaccine for injection into muscle	20	20	$582.25	$226.18
84481 Thyroid hormone, t3 measurement, free	20	20	$108.00	$16.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	18	$83.00	$43.95
72100 X-ray of lower and sacral spine, 2-3 views	19	18	$125.00	$36.71
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$310.16	$113.19
99496 Transitional care management services for problem of high complexity	18	17	$445.00	$226.44
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	16	16	$35.00	$15.91
73502 X-ray of hip, 2-3 views	12	12	$78.00	$43.52
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$321.00	$155.91
90756 Vaccine for influenza for injection into muscle	11	11	$45.00	$26.13
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$330.00	$165.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	66,602	24	$0.08	$0.03
J0897 Injection, denosumab, 1 mg	2,340	23	$40.00	$18.62
99213 Established patient office or other outpatient visit, typically 15 minutes	1,320	615	$140.00	$71.03
36415 Insertion of needle into vein for collection of blood sample	1,118	622	$17.00	$2.93
80053 Blood test, comprehensive group of blood chemicals	1,042	605	$71.00	$11.46
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	900	563	$50.00	$8.41
80061 Blood test, lipids (cholesterol and triglycerides)	880	564	$83.00	$14.48
84439 Thyroxine (thyroid chemical), free	744	492	$38.00	$9.79
84443 Blood test, thyroid stimulating hormone (TSH)	741	491	$77.00	$18.25
J1040 Injection, methylprednisolone acetate, 80 mg	545	195	$30.00	$12.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	521	521	$223.00	$111.31
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	499	215	$49.00	$15.90
83036 Hemoglobin A1C level	318	179	$35.00	$10.49
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	282	77	$126.00	$39.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	239	184	$396.00	$196.29
G0008 Administration of influenza virus vaccine	235	228	$40.00	$15.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	178	177	$207.00	$105.01
90653 Vaccine for influenza for injection into muscle	170	170	$119.00	$58.00
84153 Psa (prostate specific antigen) measurement, total	159	143	$77.00	$19.78
93000 Routine ekg using at least 12 leads including interpretation and report	155	143	$90.00	$16.24
85610 Blood test, clotting time	133	16	$18.00	$4.28
G0442 Annual alcohol misuse screening, 5 to 15 minutes	118	118	$35.00	$17.24
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	113	81	$141.00	$70.81
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	102	12	$38.00	$21.69
99495 Transitional care management services for problem of at least moderate complexity	92	79	$316.00	$157.79
J0696 Injection, ceftriaxone sodium, per 250 mg	70	13	$25.00	$0.58
81001 Manual urinalysis test with examination using microscope, automated	69	63	$22.00	$3.40
81002 Urinalysis, manual test	57	47	$10.00	$3.35
81003 Automated urinalysis test	56	55	$13.00	$2.44
71046 X-ray of chest, 2 views	53	50	$105.00	$30.05
G0180 Physician or allowed practitioner 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 and	53	48	$150.00	$51.18
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	45	45	$330.00	$163.29
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	45	39	$20.00	$4.18
90756 Vaccine for influenza for injection into muscle	44	44	$42.95	$25.45
20610 Aspiration and/or injection of fluid from large joint	44	26	$171.45	$57.12
99496 Transitional care management services for problem of high complexity	37	36	$445.00	$222.64
72100 X-ray of lower and sacral spine, 2-3 views	37	37	$125.00	$34.73
69210 Removal of impacted ear wax	31	31	$107.00	$44.97
G0009 Administration of pneumococcal vaccine	30	30	$50.00	$15.90
90662 Influenza vaccine split virus, preservative free	23	22	$88.35	$53.54
90670 Pneumococcal vaccine for injection into muscle	23	23	$396.96	$209.71
82044 Urine microalbumin (protein) analysis	22	20	$18.00	$5.83
73502 X-ray of hip, 2-3 views	17	16	$78.00	$40.77
84550 Uric acid level, blood	15	14	$28.00	$4.92
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$321.00	$153.02
74018 X-ray of abdomen, 1 view	13	12	$73.00	$24.93
72040 X-ray of upper spine, 2-3 views	12	11	$84.00	$34.74
93880 Ultrasound of both sides of head and neck blood flow	12	12	$435.00	$191.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	73,500	32	$0.08	$0.03
99213 Established patient office or other outpatient visit, typically 15 minutes	1,595	684	$140.00	$69.79
J0897 Injection, denosumab, 1 mg	1,500	14	$40.00	$17.86
36415 Insertion of needle into vein for collection of blood sample	1,290	669	$17.00	$2.92
80053 Blood test, comprehensive group of blood chemicals	1,162	648	$71.00	$12.63
80061 Blood test, lipids (cholesterol and triglycerides)	963	606	$83.00	$15.98
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	922	562	$50.00	$9.28
84443 Blood test, thyroid stimulating hormone (TSH)	650	440	$77.00	$20.06
84439 Thyroxine (thyroid chemical), free	647	441	$38.00	$10.78
J1040 Injection, methylprednisolone acetate, 80 mg	642	234	$30.00	$12.91
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	588	254	$49.00	$19.50
G0442 Annual alcohol misuse screening, 5 to 15 minutes	582	582	$35.00	$17.55
83036 Hemoglobin A1C level	387	205	$35.00	$11.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	355	355	$223.00	$112.32
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	327	87	$126.00	$40.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	307	228	$396.00	$197.97
G0008 Administration of influenza virus vaccine	261	255	$40.00	$19.51
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	212	212	$330.00	$165.34
90662 Influenza vaccine split virus, preservative free	206	206	$85.00	$52.30
93000 Routine ekg using at least 12 leads including interpretation and report	144	136	$90.00	$16.17
J0696 Injection, ceftriaxone sodium, per 250 mg	144	29	$25.00	$0.61
85610 Blood test, clotting time	128	23	$18.00	$4.75
84153 Psa (prostate specific antigen) measurement, total	117	108	$77.00	$21.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	104	$207.00	$104.25
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	89	16	$38.00	$20.69
99495 Transitional care management services for problem of at least moderate complexity	80	70	$316.00	$158.24
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	76	64	$141.00	$71.02
81001 Manual urinalysis test with examination using microscope, automated	74	66	$22.00	$3.84
G0180 Physician or allowed practitioner 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 and	74	66	$150.00	$51.77
71046 X-ray of chest, 2 views	64	62	$105.00	$28.44
81002 Urinalysis, manual test	55	50	$10.00	$3.35
99496 Transitional care management services for problem of high complexity	54	48	$445.00	$224.03
81003 Automated urinalysis test	51	50	$13.00	$2.66
G0009 Administration of pneumococcal vaccine	48	48	$50.00	$19.51
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	47	40	$20.00	$4.29
20610 Aspiration and/or injection of fluid from large joint	45	30	$178.58	$59.11
90756 Vaccine for influenza for injection into muscle	39	39	$35.00	$21.76
90670 Pneumococcal vaccine for injection into muscle	30	30	$397.00	$201.01
69210 Removal of impacted ear wax	27	27	$107.00	$46.11
72100 X-ray of lower and sacral spine, 2-3 views	26	26	$125.00	$32.43
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$131.11	$105.59
90653 Vaccine for influenza for injection into muscle	17	17	$75.00	$46.32
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$321.00	$158.86
73502 X-ray of hip, 2-3 views	16	16	$78.00	$39.38
84481 Thyroid hormone, t3 measurement, free	14	14	$108.00	$19.21
93880 Ultrasound of both sides of head and neck blood flow	14	14	$435.00	$194.79
82044 Urine microalbumin (protein) analysis	12	12	$18.00	$6.11
72040 X-ray of upper spine, 2-3 views	12	12	$84.00	$31.70
73030 X-ray of shoulder, minimum of 2 views	12	12	$76.00	$27.99
80048 Blood test, basic group of blood chemicals (calcium, total)	12	12	$56.00	$9.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	69,750	36	$0.08	$0.02
99213 Established patient office or other outpatient visit, typically 15 minutes	1,677	728	$140.00	$69.47
J0897 Injection, denosumab, 1 mg	1,500	16	$40.00	$16.71
36415 Insertion of needle into vein for collection of blood sample	1,279	699	$17.00	$2.92
80053 Blood test, comprehensive group of blood chemicals	1,165	677	$71.00	$12.18
80061 Blood test, lipids (cholesterol and triglycerides)	863	576	$83.00	$13.49
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	841	559	$50.00	$10.41
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	626	249	$49.00	$23.97
J1040 Injection, methylprednisolone acetate, 80 mg	616	220	$30.00	$10.82
84439 Thyroxine (thyroid chemical), free	557	410	$38.00	$11.98
84443 Blood test, thyroid stimulating hormone (TSH)	552	406	$77.00	$22.44
G0442 Annual alcohol misuse screening, 5 to 15 minutes	455	455	$35.00	$17.07
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	426	426	$330.00	$163.57
83036 Hemoglobin A1C level	372	205	$35.00	$12.89
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	344	108	$126.00	$39.45
J0696 Injection, ceftriaxone sodium, per 250 mg	292	36	$25.00	$0.65
G0008 Administration of influenza virus vaccine	271	267	$40.00	$23.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	266	208	$396.00	$196.87
90653 Vaccine for influenza for injection into muscle	233	233	$75.00	$49.22
99497 Advance care planning, first 30 minutes	218	218	$166.00	$78.87
93000 Routine ekg using at least 12 leads including interpretation and report	157	149	$90.00	$16.04
85610 Blood test, clotting time	130	32	$18.00	$5.28
84153 Psa (prostate specific antigen) measurement, total	115	109	$77.00	$24.62
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	105	82	$145.86	$70.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	102	$207.00	$103.27
G0180 Physician or allowed practitioner 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 and	82	74	$150.00	$51.37
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	73	63	$20.00	$4.70
81001 Manual urinalysis test with examination using microscope, automated	71	66	$22.00	$4.21
71020 X-ray of chest, 2 views, front and side	67	62	$105.00	$26.46
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	63	19	$38.00	$19.14
G0009 Administration of pneumococcal vaccine	60	60	$50.00	$23.91
99495 Transitional care management services for problem of at least moderate complexity	55	48	$316.00	$155.98
81002 Urinalysis, manual test	55	47	$10.00	$3.43
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	46	46	$116.20	$95.92
81003 Automated urinalysis test	37	36	$13.00	$3.02
20610 Aspiration and/or injection of fluid from large joint	30	25	$185.87	$58.99
99496 Transitional care management services for problem of high complexity	27	26	$445.00	$220.74
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	24	23	$35.00	$17.05
72100 X-ray of lower and sacral spine, 2-3 views	20	20	$125.00	$32.99
93880 Ultrasound of both sides of head and neck blood flow	19	19	$435.00	$189.86
90670 Pneumococcal vaccine for injection into muscle	16	16	$397.00	$171.32
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	16	16	$223.00	$110.49
90662 Influenza vaccine split virus, preservative free	15	15	$50.00	$41.87
69210 Removal of impacted ear wax	15	15	$107.00	$46.99
74000 X-ray of abdomen, single view	14	14	$73.00	$22.43
82044 Urine microalbumin (protein) analysis	14	14	$18.00	$6.15
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$321.00	$153.28

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX F9162

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

136710411 (TX)

Medicaid State Provider ID

200059570A (OK)

Hospital & Practice Group Affiliations

Texomacare

5012 S Us Hwy 75, Denison, TX 750204589

Phone: 9034166015

Legacy Healthcare Services Inc

5701 Virginia Pkwy, Mckinney, TX 750715652

Phone: 2145920212

The Rehabilitation Center Therapeutic Solutions For Children And Adul

1216 Hillcrest Dr, Sherman, TX 750925507

Texomacare

5012 S Us Hwy 75, Denison, TX 750204587

Legacy Healthcare Services Inc

800 College Pkwy, Lewisville, TX 750773503

Phone: 9724208543

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Vanessa Ohnes-Verduguez , MD

Internal Medicine

NPI 1396988770

Doctor of Medicine (M.D.)

Dr. Ignacio Gonzalez , MD

Internal Medicine

NPI 1477502821

Doctor of Medicine (M.D.)

Crystal Miller-Williams , NP

Nurse Practitioner - Family

NPI 1750634770

Nurse Practitioner

Dr. Angelica Balingit , MD

Internal Medicine

NPI 1861436040

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

✅

NPI Profile Active January 26, 2018

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address January 26, 2018

Registered at 5012 S US HWY 75, SUITE 300, ATTN BILLING, DENISON, TX 750204587 (Tel: 9034166015)

📍

Updated Practice Location January 26, 2018

Registered at 5012 S US HIGHWAY 75, SUITE 300, DENISON, TX 750204587 (Tel: 9034166015)

👤

Provider Name / Credentials Updated January 26, 2018

Recorded as BILL BALCH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2018

Internal Medicine (License #F9162 in TX)

📍

Updated Business Mailing Address October 06, 2017

Registered at 5012 S US HIGHWAY 75 STE 300, ATT BILLING, DENISON, TX 750204589 (Tel: 9034161726)

✅

NPI Profile Active July 10, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 10, 2015

Registered at 5012 S US HIGHWAY 75, SUITE 300, DENISON, TX 750204587 (Tel: 9034166015)

📍

Updated Business Mailing Address July 10, 2015

Registered at PO BOX 844707, DALLAS, TX 752844707 (Tel: 9034166015)

👤

Provider Name / Credentials Updated July 10, 2015

Recorded as BILL BALCH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2015

Internal Medicine (License #F9162 in TX)

🟢

Initial NPI Registration & Enumeration May 10, 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: 1548219959

Entity Type:

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

Enumeration Date: May 10, 2006

Last Update: January 26, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5012 S Us Hwy 75, Suite 300, Attn Billing

Denison, TX 750204587

Phone: 9034166015

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.