Physician

Carmen S Balding, MD

According to 2025 Medicare claims, Carmen Balding, MD (NPI: 1811095342) practices dermatology in the Milwaukee-Waukesha, WI market, with the plurality of this provider's patient population coming from Milwaukee, WI. This provider's primary affiliated billing organization is MADISON MEDICAL AFFILIATES, INC. (NPI: 1588695746; TIN: 391855720) and primary practice location at 53097-2400. Balding is affiliated with the Ascension Care Management Health Partners Wisconsin, LLC (ACO ID: A5329), participating under the MSSP model.

Balding's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 271 traditional Medicare patients, billed 1,153 HCPCS/CPT codes, and received $271,340 in Medicare payments. The top billing code was 17311 (Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks). Part D data shows 1,124 prescription claims across 519 beneficiaries totaling $7,816 in drug costs, led by Mupirocin (Mupirocin). Open Payments data shows 2 records totaling $58. 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 moved up and down with repeated peaks and valleys, starting at $282,040 and ending at $271,340. Concurrently, Part D prescription costs have moved from a lower plateau to a higher plateau, from $4,610 to $7,816. 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$191K$382K2015 Medicare payment: $282,040 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $305,745 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $287,022 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $287,170 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $227,375 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $219,653 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $382,007 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $318,405 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $317,684 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $271,340 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20153351,271$282,040
20162771,205$305,745
20172621,089$287,022
20182091,103$287,170
2019185805$227,375
2020153766$219,653
20212971,362$382,007
20222871,183$318,405
20232781,278$317,684
20242711,153$271,340

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$4.7K$9.4K2015 Drug cost: $4,610 (USD; Tot_Drug_Cst)2016 Drug cost: $4,771 (USD; Tot_Drug_Cst)2017 Drug cost: $4,290 (USD; Tot_Drug_Cst)2018 Drug cost: $4,218 (USD; Tot_Drug_Cst)2019 Drug cost: $4,905 (USD; Tot_Drug_Cst)2020 Drug cost: $5,358 (USD; Tot_Drug_Cst)2021 Drug cost: $8,221 (USD; Tot_Drug_Cst)2022 Drug cost: $9,364 (USD; Tot_Drug_Cst)2023 Drug cost: $8,186 (USD; Tot_Drug_Cst)2024 Drug cost: $7,816 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015277582$4,610
2016306671$4,771
2017298674$4,290
2018271616$4,218
2019279618$4,905
2020266604$5,358
20214861,032$8,221
20224651,008$9,364
20234651,038$8,186
20245191,124$7,816

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
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks180244$355
17313Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks5671$354
17312Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks83169$279
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more183192$58
11102Biopsy of related skin growth, first growth4143$50

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
MupirocinMupirocin4876,634$3,928
Doxycycline MonohydrateDoxycycline Monohydrate2331,181$2,139
CephalexinCephalexin2871,305$965
CefdinirCefdinir28144$275
Doxycycline HyclateDoxycycline Hyclate31159$177

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.2$58Kerecis Limited
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 Carmen S. Balding, MD?

Tedicare shows public-source Medicare data for Carmen S. Balding, MD (NPI 1811095342), 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 Carmen S. Balding, MD have ACO affiliation data?

Carmen S. Balding, MD is shown with ACO affiliation data for Ascension Care Management Health Partners Wisconsin, LLC (MSSP, ACO ID A5329).

What billing organization is linked to Carmen S. Balding, MD?

Carmen S. Balding, MD is linked to MADISON MEDICAL AFFILIATES, INC. (billing NPI 1588695746) in the available physician profile data.

Does Carmen S. Balding, MD have Open Payments data?

Carmen S. Balding, MD has 2 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.