Physician

William A Ballance, M.D.

According to 2025 Medicare claims, William Ballance, M.D. (NPI: 1700883212) practices pathology in the Greenville, NC market, with the plurality of this provider's patient population coming from Pitt, NC. This provider's primary affiliated billing organization is GREENVILLE PATHOLOGY, PA (NPI: 1851344436; TIN: 562016702) and primary practice location at 27834-7215. Ballance is affiliated with the Coastal Plains Network, LLC (ACO ID: A2684), participating under the MSSP model.

Ballance's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,905 traditional Medicare patients, billed 5,711 HCPCS/CPT codes, and received $342,298 in Medicare payments. The top billing code was 88307 (Pathology examination of tissue using a microscope, moderately high complexity). Open Payments data shows 1 records totaling $32. 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 did not follow a clear longitudinal pattern. Concurrently, this provider has fewer than 5 years of reported Part D prescription costs data, so a reliable trend cannot be assigned. 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$318K$637K2015 Medicare payment: $423,698 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $459,776 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $559,939 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $636,584 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $635,494 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $546,834 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $585,369 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $461,470 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $440,035 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $342,298 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152,3186,372$423,698
20162,5867,053$459,776
20172,9418,602$559,939
20183,19310,477$636,584
20193,22010,372$635,494
20202,6598,211$546,834
20212,8428,764$585,369
20222,0286,381$461,470
20232,1126,347$440,035
20241,9055,711$342,298

Part D Events Trend

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

No connected Part D records

No connected Part D records

DME Billing Trend

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

No connected DME records

No connected DME records

* / # = 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
88307Pathology examination of tissue using a microscope, moderately high complexity237503$167
88173Evaluation of fine needle aspirate with interpretation and report179222$102
88342Special stained specimen slides to examine tissue, initial procedure161316$66
88305Pathology examination of tissue using a microscope, intermediate complexity1,3652,369$41
88175Pap test, automated thin layer preparation; automated system and manual rescreening150150$26

Top 5 Part D drugs in 2024

By total drug costs.

No connected Part D drug-level records for 2024.

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.1$32Roche Diagnostics 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 William A. Ballance, M.D.?

Tedicare shows public-source Medicare data for William A. Ballance, M.D. (NPI 1700883212), 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 William A. Ballance, M.D. have ACO affiliation data?

William A. Ballance, M.D. is shown with ACO affiliation data for Coastal Plains Network, LLC (MSSP, ACO ID A2684).

What billing organization is linked to William A. Ballance, M.D.?

William A. Ballance, M.D. is linked to GREENVILLE PATHOLOGY, PA (billing NPI 1851344436) in the available physician profile data.

Does William A. Ballance, M.D. have Open Payments data?

William A. Ballance, M.D. has 1 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.