Physician

Ralitsa V Balabanova-Tsarnakova, MD

According to 2025 Medicare claims, Ralitsa Balabanova-Tsarnakova, MD (NPI: 1164731303) practices internal medicine in the State College, PA market, with the plurality of this provider's patient population coming from Centre, PA. This provider's primary affiliated billing organization is MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES INC (NPI: 1598992554; TIN: 510426500) and primary practice location at 16803-5500.

Balabanova-Tsarnakova's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 273 traditional Medicare patients, billed 986 HCPCS/CPT codes, and received $76,968 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 9,327 prescription claims across 936 beneficiaries totaling $616,364 in drug costs, led by Jardiance (Empagliflozin). DME data shows 80 claims. Open Payments data shows 34 records totaling $466. 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 risen steadily, from $57,782 to $76,968. Similarly, Part D prescription costs have risen steadily, from $321,865 to $616,364. In contrast, DME billing represents a smaller volume and rose steadily, from $1,502 to $5,607.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	224	991	$57,782
2016	252	1,072	$59,869
2017	245	1,058	$64,356
2018	277	1,334	$92,919
2019	286	1,176	$80,277
2020	277	1,063	$73,732
2021	313	1,152	$92,488
2022	317	1,078	$80,207
2023	302	1,131	$89,047
2024	273	986	$76,968

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	420	5,694	$321,865
2016	453	6,594	$336,724
2017	475	7,156	$360,690
2018	584	7,758	$369,595
2019	626	7,883	$399,281
2020	648	7,981	$494,337
2021	624	7,724	$474,805
2022	768	8,396	$536,547
2023	860	8,595	$607,010
2024	936	9,327	$616,364

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	12	35	$358
2016	11	41	$381
2017	N/R	59	$1,328
2018	14	164	$3,838
2019	18	145	$2,263
2020	14	102	$2,213
2021	14	124	$3,182
2022	13	94	$2,522
2023	25	111	$3,440
2024	13	80	$4,554

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	203	203	$122
90662	Influenza vaccine split virus, preservative free	49	49	$81
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	208	338	$81
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	136	156	$58
G0008	Administration of influenza virus vaccine	54	54	$31

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Jardiance	Empagliflozin	84	5,790	$108,989
Eliquis	Apixaban	108	5,511	$102,808
Ozempic	Semaglutide	63	1,820	$57,073
Mounjaro	Tirzepatide	20	700	$24,882
Trulicity	Dulaglutide	26	707	$23,888

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
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	13	$2,667
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	12	$786
E0745	Neuromuscular stimulator, electronic shock unit	Y	N/R	11	$770
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	13	33	$322
A4259	Lancets, per box of 100	N	N/R	11	$9

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	34	$466	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 Ralitsa V. Balabanova-Tsarnakova, MD?

Tedicare shows public-source Medicare data for Ralitsa V. Balabanova-Tsarnakova, MD (NPI 1164731303), 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 Ralitsa V. Balabanova-Tsarnakova, MD have ACO affiliation data?

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

What billing organization is linked to Ralitsa V. Balabanova-Tsarnakova, MD?

Ralitsa V. Balabanova-Tsarnakova, MD is linked to MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES INC (billing NPI 1598992554) in the available physician profile data.

Does Ralitsa V. Balabanova-Tsarnakova, MD have Open Payments data?

Ralitsa V. Balabanova-Tsarnakova, MD has 34 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.