Physician

Natali M Balog, MD

According to 2025 Medicare claims, Natali Balog, MD (NPI: 1578552386) practices rheumatology in the South Bend-Mishawaka, IN-MI market, with the plurality of this provider's patient population coming from St. Joseph, IN. This provider's primary affiliated billing organization is BEACON MEDICAL GROUP, INC. (NPI: 1053361543; TIN: 351536132) and primary practice location at 46530-8022. Balog is affiliated with the CHA ACO, LLC (ACO ID: A2207), Caravan Health ACO 43 LLC (ACO ID: A4974), Main Street Rural Health Sycamore ACO LLC (ACO ID: A5403), and Main Street Rural Health Cedar ACO LLC (ACO ID: A5502), participating under the MSSP model.

Balog's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 769 traditional Medicare patients, billed 60,157 HCPCS/CPT codes, and received $917,275 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 5,752 prescription claims across 977 beneficiaries totaling $4,456,386 in drug costs, led by Enbrel Sureclick (Etanercept). 2018 DME data shows 12 claims. Open Payments data shows 36 records totaling $732. 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 fallen sharply in recent years, from $1,227,308 to $917,275. In contrast, Part D prescription costs have moved sharply higher in recent years, from $1,006,589 to $4,456,386. 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$1.6M$3.2M2015 Medicare payment: $1,227,308 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $1,304,594 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $1,817,069 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $2,299,166 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $1,960,778 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $2,308,395 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $2,849,995 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $3,203,831 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $2,746,578 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $917,275 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201577278,598$1,227,308
201681090,626$1,304,594
2017894115,955$1,817,069
2018992129,679$2,299,166
2019982105,076$1,960,778
2020733123,592$2,308,395
2021729181,856$2,849,995
2022797227,089$3,203,831
2023777235,697$2,746,578
202476960,157$917,275

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$2.2M$4.5M2015 Drug cost: $1,006,589 (USD; Tot_Drug_Cst)2016 Drug cost: $1,309,313 (USD; Tot_Drug_Cst)2017 Drug cost: $1,156,749 (USD; Tot_Drug_Cst)2018 Drug cost: $1,522,053 (USD; Tot_Drug_Cst)2019 Drug cost: $1,832,911 (USD; Tot_Drug_Cst)2020 Drug cost: $2,026,842 (USD; Tot_Drug_Cst)2021 Drug cost: $2,168,829 (USD; Tot_Drug_Cst)2022 Drug cost: $2,891,603 (USD; Tot_Drug_Cst)2023 Drug cost: $3,867,055 (USD; Tot_Drug_Cst)2024 Drug cost: $4,456,386 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20157094,732$1,006,589
20167404,749$1,309,313
20177564,777$1,156,749
20188784,995$1,522,053
20191,3026,037$1,832,911
20201,2315,994$2,026,842
20211,0655,539$2,168,829
20221,1445,558$2,891,603
20231,4516,134$3,867,055
20249775,752$4,456,386

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$376$7522016 Medicare payment: $698 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $752 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/R11$698
2017N/RN/RN/R
20181212$752
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.

CodeDescriptionPatientsClm LinesTotal Payment
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more105105$110
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more6441,194$82
J0897Injection, denosumab, 1 mg16115,480$20
96372Injection of drug or substance under skin or into muscle189374$10
36415Insertion of needle into vein for collection of blood sample92100$8

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Enbrel SureclickEtanercept1183,304$890,846
Humira(Cf) PenAdalimumab1023,136$758,350
RinvoqUpadacitinib943,240$684,698
OtezlaApremilast581,740$295,252
Cosentyx Sensoready (2 Pens)Secukinumab381,064$283,735

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.36$732ABBVIE INC.
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 Natali M. Balog, MD?

Tedicare shows public-source Medicare data for Natali M. Balog, MD (NPI 1578552386), 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 Natali M. Balog, MD have ACO affiliation data?

Natali M. Balog, MD is shown with ACO affiliation data for CHA ACO, LLC (MSSP, ACO ID A2207), Caravan Health ACO 43 LLC (MSSP, ACO ID A4974), Main Street Rural Health Sycamore ACO LLC (MSSP, ACO ID A5403), and Main Street Rural Health Cedar ACO LLC (MSSP, ACO ID A5502).

What billing organization is linked to Natali M. Balog, MD?

Natali M. Balog, MD is linked to BEACON MEDICAL GROUP, INC. (billing NPI 1053361543) in the available physician profile data.

Does Natali M. Balog, MD have Open Payments data?

Natali M. Balog, MD has 36 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.