Physician

Alberto Ballesteros, MD

According to 2025 Medicare claims, Alberto Ballesteros, MD (NPI: 1972527430) practices psychiatry in the Lakewood-New Brunswick, NJ market, with the plurality of this provider's patient population coming from Ocean, NJ. This provider's primary affiliated billing organization is BARNABAS HEALTH MEDICAL GROUP, PC (NPI: 1447206420; TIN: 223316007) and primary practice location at 08755-1245. Ballesteros is affiliated with the RWJBH Accountable Care, LLC (ACO ID: A1247) and Vytalize Health 9 ACO LLC (ACO ID: D0313), participating under both the MSSP and REACH models.

Ballesteros' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 278 traditional Medicare patients, billed 1,901 HCPCS/CPT codes, and received $135,155 in Medicare payments. The top billing code was 90791 (Psychiatric diagnostic evaluation). Part D data shows 1,698 prescription claims across 169 beneficiaries totaling $1,054,205 in drug costs, led by Invega Sustenna (Paliperidone Palmitate). Open Payments data shows 22 records totaling $423. 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 up and down with repeated peaks and valleys, starting at $53,888 and ending at $1,054,205. 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	256	1,460	$87,856
2016	429	1,444	$82,845
2017	512	1,983	$120,371
2018	446	1,705	$106,353
2019	396	1,929	$118,042
2020	369	1,710	$110,429
2021	309	1,598	$110,277
2022	326	1,532	$98,136
2023	320	1,449	$90,219
2024	278	1,901	$135,155

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	79	520	$53,888
2016	89	602	$49,774
2017	161	1,091	$70,241
2018	121	913	$84,358
2019	146	1,153	$60,132
2020	133	1,097	$58,851
2021	146	1,264	$73,442
2022	116	1,012	$44,701
2023	110	775	$61,707
2024	169	1,698	$1,054,205

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
90791	Psychiatric diagnostic evaluation	109	117	$119
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	161	356	$100
99239	Hospital discharge day management, more than 30 minutes	121	143	$95
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	192	761	$65
99231	Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	194	512	$41

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Invega Sustenna	Paliperidone Palmitate	28	840	$91,485
Abilify Maintena	Aripiprazole	18	992	$87,728
Aristada	Aripiprazole Lauroxil	22	702	$70,439
Jublia	Efinaconazole	18	1,320	$67,436
Vivitrol	Naltrexone Microspheres	36	1,008	$58,823

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.	22	$423	Janssen Pharmaceuticals, 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

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FAQ

What Medicare data is available for Alberto Ballesteros, MD?

Tedicare shows public-source Medicare data for Alberto Ballesteros, MD (NPI 1972527430), 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 Alberto Ballesteros, MD have ACO affiliation data?

Alberto Ballesteros, MD is shown with ACO affiliation data for RWJBH Accountable Care, LLC (MSSP, ACO ID A1247) and Vytalize Health 9 ACO LLC (REACH, ACO ID D0313).

What billing organization is linked to Alberto Ballesteros, MD?

Alberto Ballesteros, MD is linked to BARNABAS HEALTH MEDICAL GROUP, PC (billing NPI 1447206420) in the available physician profile data.

Does Alberto Ballesteros, MD have Open Payments data?

Alberto Ballesteros, MD has 22 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.