Physician

Alfredo Jose Davalos-Balderas, M.D.

According to 2025 Medicare claims, Alfredo Davalos-Balderas, M.D. (NPI: 1851735831) practices neurology in the Jackson, MI market, with the plurality of this provider's patient population coming from Jackson, MI. This provider's primary affiliated billing organization is W.A. FOOTE MEMORIAL HOSPITAL, INC (NPI: 1235676446; TIN: 382027689) and primary practice location at 49201-1753. Davalos-Balderas is affiliated with the Mosaic ACO (ACO ID: A5033), participating under the MSSP model.

Davalos-Balderas' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 264 traditional Medicare patients, billed 356 HCPCS/CPT codes, and received $33,523 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 14 prescription claims totaling $2,328 in drug costs. 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's Medicare Part B carrier billing did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. 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.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	177	223	$20,046
2020	402	565	$35,404
2021	410	611	$46,605
2022	393	546	$53,195
2023	285	368	$32,939
2024	264	356	$33,523

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	17	51	$4,424
2016	N/R	38	$1,455
2017	N/R	23	$1,624
2018	N/R	17	$431
2019	70	174	$73,055
2020	180	943	$426,558
2021	220	1,317	$821,912
2022	199	1,193	$836,722
2023	53	148	$190,910
2024	N/R	14	$2,328

DME Billing Trend

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

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.

Code	Description	Patients	Clm Lines	Total Payment
99205	New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$139
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	66	67	$132
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	120	123	$100
95819	Measurement of brain wave activity (eeg), awake and asleep	23	23	$39
95816	Measurement of brain wave activity (eeg), awake and drowsy	49	49	$36

Top 5 Part D drugs in 2024

By total drug costs.

Part D summary data is connected for 2024, but public drug-level costs are not available, so a Top 5 by total drug costs cannot be shown.

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.

Explore More Providers

FAQ

What Medicare data is available for Alfredo Jose Davalos-Balderas, M.D.?

Tedicare shows public-source Medicare data for Alfredo Jose Davalos-Balderas, M.D. (NPI 1851735831), 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 Alfredo Jose Davalos-Balderas, M.D. have ACO affiliation data?

Alfredo Jose Davalos-Balderas, M.D. is shown with ACO affiliation data for Mosaic ACO (MSSP, ACO ID A5033).

What billing organization is linked to Alfredo Jose Davalos-Balderas, M.D.?

Alfredo Jose Davalos-Balderas, M.D. is linked to W.A. FOOTE MEMORIAL HOSPITAL, INC (billing NPI 1235676446) in the available physician profile data.

Does Alfredo Jose Davalos-Balderas, M.D. 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.