Physician

Nancy A. Balin, M.D., F.A.C.S.

According to 2025 Medicare claims, Nancy Balin, M.D., F.A.C.S. (NPI: 1629073879) practices ophthalmology in the Amherst Town-Northampton, MA market, with the plurality of this provider's patient population coming from Hampshire, MA. This provider's primary affiliated billing organization is NANCY A BALIN MD F A C S (NPI: 1033114103; TIN: 043159002) and primary practice location at 01089-5101.

Balin's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,028 traditional Medicare patients, billed 4,571 HCPCS/CPT codes, and received $270,287 in Medicare payments. The top billing code was 92014 (Established patient complete exam of visual system). Part D data shows 4,554 prescription claims across 866 beneficiaries totaling $801,405 in drug costs, led by Rhopressa (Netarsudil Mesylate). 2015 DME data shows 39 claims. Open Payments data shows 18 records totaling $646. 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 changed little. Concurrently, Part D prescription costs have moved from a lower plateau to a higher plateau, from $350,442 to $801,405. In contrast, DME billing represents a smaller volume and changed little.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	751	2,467	$254,981
2016	737	2,497	$240,776
2017	784	2,562	$231,876
2018	787	2,504	$267,631
2019	751	2,401	$276,848
2020	637	2,334	$204,069
2021	747	5,190	$250,997
2022	817	4,712	$257,077
2023	1,007	4,439	$306,782
2024	1,028	4,571	$270,287

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	493	3,396	$350,442
2016	611	3,744	$399,117
2017	659	3,996	$456,441
2018	760	4,548	$581,881
2019	769	4,451	$673,231
2020	650	3,905	$580,741
2021	687	3,631	$998,077
2022	723	3,922	$798,947
2023	746	4,389	$1,109,926
2024	866	4,554	$801,405

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	35	39	$1,776
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/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.

Code	Description	Patients	Clm Lines	Total Payment
92014	Established patient complete exam of visual system	621	640	$68
92012	Established patient problem focused exam of visual system	275	450	$55
92134	Imaging of retina	227	252	$27
92133	Imaging of optic nerve	187	196	$22
92136	Measurement of corneal curvature and depth of eye	192	456	$18

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Rhopressa	Netarsudil Mesylate	293	9,214	$105,441
Restasis	Cyclosporine	82	3,945	$77,483
Xiidra	Lifitegrast	43	2,190	$49,244
Tyrvaya	Varenicline Tartrate	70	2,100	$44,774
Xdemvy	Lotilaner	20	852	$37,042

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	18	$646	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

Explore More Providers

FAQ

What Medicare data is available for Nancy A. Balin, M.D., F.A.C.S.?

Tedicare shows public-source Medicare data for Nancy A. Balin, M.D., F.A.C.S. (NPI 1629073879), 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 Nancy A. Balin, M.D., F.A.C.S. have ACO affiliation data?

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

What billing organization is linked to Nancy A. Balin, M.D., F.A.C.S.?

Nancy A. Balin, M.D., F.A.C.S. is linked to NANCY A BALIN MD F A C S (billing NPI 1033114103) in the available physician profile data.

Does Nancy A. Balin, M.D., F.A.C.S. have Open Payments data?

Nancy A. Balin, M.D., F.A.C.S. has 18 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.