Physician

Cynthia K Balina, MD

According to 2025 Medicare claims, Cynthia Balina, MD (NPI: 1447365622) practices geriatric medicine in the Cleveland, OH market, with the plurality of this provider's patient population coming from Cuyahoga, OH. This provider's primary affiliated billing organization is UNIVERSITY PRIMARY CARE PRACTICES INC (NPI: 1720220098; TIN: 341768928) and primary practice location at 44102-2813. Balina is affiliated with the University Hospitals Coordinated Care Organization (ACO ID: A1262) and Vytalize Health 9 ACO LLC (ACO ID: D0313), participating under both the MSSP and REACH models.

Balina's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 19 traditional Medicare patients, billed 21 HCPCS/CPT codes, and received $1,984 in Medicare payments. Part D data shows 6,425 prescription claims across 196 beneficiaries totaling $507,139 in drug costs, led by Trulicity (Dulaglutide). 2017 DME data shows 12 claims. No Open Payments records. 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 up and down with repeated peaks and valleys, starting at $499,519 and ending at $507,139. 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$2.2K$4.4K2016 Medicare payment: $4,436 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $2,302 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,984 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
20161562$4,436
20171531$2,302
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
20241921$1,984

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$405K$810K2015 Drug cost: $499,519 (USD; Tot_Drug_Cst)2016 Drug cost: $809,643 (USD; Tot_Drug_Cst)2017 Drug cost: $521,908 (USD; Tot_Drug_Cst)2018 Drug cost: $522,252 (USD; Tot_Drug_Cst)2019 Drug cost: $469,616 (USD; Tot_Drug_Cst)2020 Drug cost: $346,550 (USD; Tot_Drug_Cst)2021 Drug cost: $440,358 (USD; Tot_Drug_Cst)2022 Drug cost: $625,552 (USD; Tot_Drug_Cst)2023 Drug cost: $705,965 (USD; Tot_Drug_Cst)2024 Drug cost: $507,139 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152376,554$499,519
20162407,753$809,643
20172347,525$521,908
20182317,510$522,252
20191764,295$469,616
20202336,235$346,550
20212346,659$440,358
20222388,817$625,552
20232218,372$705,965
20241966,425$507,139

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$506$1.0K2016 Medicare payment: $1,011 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $610 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/R23$1,011
2017N/R12$610
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

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

Top 5 Part B carrier billing codes in 2024

By total payments.

Part B summary data is connected for 2024, but public code-level payment amounts are not available, so a Top 5 by total payments cannot be shown.

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
TrulicityDulaglutide941,190$47,944
Invega SustennaPaliperidone Palmitate12360$42,996
EliquisApixaban2311,694$36,637
JardianceEmpagliflozin64786$17,121
Trelegy ElliptaFluticasone/Umeclidin/Vilanter29574$13,853

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Cynthia K. Balina, MD?

Tedicare shows public-source Medicare data for Cynthia K. Balina, MD (NPI 1447365622), 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 Cynthia K. Balina, MD have ACO affiliation data?

Cynthia K. Balina, MD is shown with ACO affiliation data for University Hospitals Coordinated Care Organization (MSSP, ACO ID A1262) and Vytalize Health 9 ACO LLC (REACH, ACO ID D0313).

What billing organization is linked to Cynthia K. Balina, MD?

Cynthia K. Balina, MD is linked to UNIVERSITY PRIMARY CARE PRACTICES INC (billing NPI 1720220098) in the available physician profile data.

Does Cynthia K. Balina, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.