Physician

Jennifer Ballinger, MD

According to 2025 Medicare claims, Jennifer Ballinger, MD (NPI: 1427599653) practices urology in the Pinehurst-Southern Pines, NC market, with the plurality of this provider's patient population coming from Moore, NC. This provider's primary affiliated billing organization is PINEHURST SURGICAL CLINIC PA (NPI: 1962434324; TIN: 560942061) and primary practice location at 28374-9495. Ballinger is affiliated with the Carolinas HealthCare System ACO, LLC (ACO ID: A3675), participating under the MSSP model.

Ballinger's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 405 traditional Medicare patients, billed 4,449 HCPCS/CPT codes, and received $188,577 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 1,453 prescription claims across 393 beneficiaries totaling $354,723 in drug costs, led by Gemtesa (Vibegron). DME data shows 13 claims. Open Payments data shows 61 records totaling $1,614. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $1,592 to $354,723. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$94K$189K2022 Medicare payment: $24,656 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $110,651 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $188,577 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022106412$24,656
20233352,343$110,651
20244054,449$188,577

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$177K$355K2017 Drug cost: $1,592 (USD; Tot_Drug_Cst)2018 Drug cost: $7,420 (USD; Tot_Drug_Cst)2019 Drug cost: $10,319 (USD; Tot_Drug_Cst)2020 Drug cost: $4,638 (USD; Tot_Drug_Cst)2021 Drug cost: $1,908 (USD; Tot_Drug_Cst)2022 Drug cost: $9,920 (USD; Tot_Drug_Cst)2023 Drug cost: $157,618 (USD; Tot_Drug_Cst)2024 Drug cost: $354,723 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
20172667$1,592
2018123270$7,420
2019116287$10,319
202052118$4,638
202171158$1,908
2022105245$9,920
2023251845$157,618
20243931,453$354,723

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$2.6K$5.3K2023 Medicare payment: $5,264 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $2,795 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/R11$5,264
2024N/R13$2,795

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

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more151151$109
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more241399$89
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's113156$12
51798Ultrasound measurement of bladder capacity after voiding266341$8
81001Manual urinalysis test with examination using microscope, automated155196$3

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
GemtesaVibegron33014,293$227,483
MyrbetriqMirabegron1726,249$93,281
EstradiolEstradiol1017,339$7,052
Trospium Chloride ErTrospium Chloride281,020$4,122
Methenamine HippurateMethenamine Hippurate421,659$2,878

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4352Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), eachNN/R13$2,795

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.61$1,614Boston Scientific Corporation
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Jennifer Ballinger, MD?

Tedicare shows public-source Medicare data for Jennifer Ballinger, MD (NPI 1427599653), 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 Jennifer Ballinger, MD have ACO affiliation data?

Jennifer Ballinger, MD is shown with ACO affiliation data for Carolinas HealthCare System ACO, LLC (MSSP, ACO ID A3675).

What billing organization is linked to Jennifer Ballinger, MD?

Jennifer Ballinger, MD is linked to PINEHURST SURGICAL CLINIC PA (billing NPI 1962434324) in the available physician profile data.

Does Jennifer Ballinger, MD have Open Payments data?

Jennifer Ballinger, MD has 61 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.