Physician

Glenn Mark Balfour, M.D.

According to 2025 Medicare claims, Glenn Balfour, M.D. (NPI: 1104931542) practices neurology in the Sacramento-Roseville-Folsom, CA market, with the plurality of this provider's patient population coming from Sacramento, CA. Balfour uses personal NPI as billing NPI and primary practice location at 95841-3169.

Balfour's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 839 traditional Medicare patients, billed 8,252 HCPCS/CPT codes, and received $937,053 in Medicare payments. The top billing code was 95912 (Nerve conduction, 11-12 studies). Part D data shows 208 prescription claims across 40 beneficiaries totaling $96,019 in drug costs, led by Memantine Hcl (Memantine Hcl). DME data shows 381 claims. Open Payments data shows 8 records totaling $219. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved sharply higher in recent years, from $116,838 to $937,053. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $104,143 and ending at $96,019. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $17,464 and ending at $4,133.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	243	989	$116,838
2016	560	6,341	$511,724
2017	454	4,187	$556,951
2018	472	4,119	$536,289
2019	556	5,140	$656,691
2020	475	4,382	$549,947
2021	617	5,390	$753,163
2022	773	7,323	$989,550
2023	783	7,936	$1,018,867
2024	839	8,252	$937,053

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	44	575	$104,143
2016	37	304	$25,289
2017	29	129	$15,227
2018	21	93	$16,347
2019	22	171	$71,688
2020	33	215	$110,158
2021	57	387	$83,953
2022	57	516	$54,074
2023	36	244	$51,273
2024	40	208	$96,019

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	83	107	$67,178
2016	511	544	$509,414
2017	702	703	$867,131
2018	605	618	$616,221
2019	362	398	$304,540
2020	256	267	$226,340
2021	363	390	$344,035
2022	551	552	$566,250
2023	519	634	$551,990
2024	317	381	$348,245

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
95912	Nerve conduction, 11-12 studies	688	724	$192
95911	Nerve conduction, 9-10 studies	690	724	$164
93892	Ultrasound of within the brain blood flow for blood clots	305	307	$133
95886	Needle measurement of electrical activity in arm or leg muscles, complete study	744	2,850	$76
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	364	432	$69

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Memantine Hcl	Memantine Hcl	19	1,155	$1,220
Donepezil Hcl	Donepezil Hcl	15	990	$158

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
L1844	Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricated	N	45	45	$160,923
L3916	Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf	N	102	104	$76,880
L0637	Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	N	53	53	$57,733
L3960	Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment	N	37	37	$33,910
L2397	Addition to lower extremity orthosis, suspension sleeve	N	45	46	$10,258

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	8	$219	ABBVIE INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Glenn Mark Balfour, M.D.?

Tedicare shows public-source Medicare data for Glenn Mark Balfour, M.D. (NPI 1104931542), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Glenn Mark Balfour, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Glenn Mark Balfour, M.D.?

A separate primary affiliated billing organization is not shown for this profile in the available data.

Does Glenn Mark Balfour, M.D. have Open Payments data?

Glenn Mark Balfour, M.D. has 8 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.