Physician

David Howard Balaban, MD

According to 2025 Medicare claims, David Balaban, MD (NPI: 1225035959) practices gastroenterology in the Charlottesville, VA market, with the plurality of this provider's patient population coming from Charlottesville City, VA. This provider's primary affiliated billing organization is GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLC (NPI: 1205884368; TIN: 540892627) and primary practice location at 22902-4849.

Balaban's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 886 traditional Medicare patients, billed 1,255 HCPCS/CPT codes, and received $199,032 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 1,285 prescription claims across 411 beneficiaries totaling $689,432 in drug costs, led by Stelara (Ustekinumab). Open Payments data shows 4 records totaling $101. 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 up and down with repeated peaks and valleys, starting at $150,588 and ending at $199,032. Concurrently, Part D prescription costs have risen steadily, from $254,758 to $689,432. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.