NEVVI Medicare utilization intelligence

← back

BALE, PHILLIPMD NPI 1376533992 Clinician

Family Practice · GLASGOW, KY

Specialty Family Practice — from billed Medicare claims
Trained UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE — medical school, self-reported to CMS
In practice about 50 years since medical school (class of 1976, self-reported to CMS)
Location GLASGOW, KY · NPPES registered location
Active in data Billed Medicare 2020–2024 (5 consecutive years)
Scale 41 codes billed · 4,777 disclosed services (CY2024 — most recent year in data)
Current groups

Group affiliation since 2019

20192026
GRAVES GILBERT CLINIC PLLC
2019–2026

The roster archive begins in 2019, so a span starting at 2019 may reach back further. Membership spans only — no volume is attributed to any group here.

NPPES registry · CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · NPPES record last updated 2024-02

Year: 2024 · 2023 · 2022  · 2021  · 2020 

Provider overview · all codes · CY2024

The full analytics for this provider

Premium

The billed-volume positioning, practice focus, and economics behind this provider — computed on the same disclosed Medicare Part B data.

This provider's disclosed Medicare payments across all codes were in CY2024. Unlock to see the figure.

  • Payment, service & beneficiary totals — the disclosed scale, all codes
  • Practice profile — focus & reach — top codes by share of services
  • Office vs. facility setting mix — place-of-service code split
  • Volume over five years — discrete yearly counts, no rate
  • Peer positioning — service volume — percentile among specialty peers, cohort & year disclosed
  • Peer positioning — code breadth — how many codes billed, vs peers

Peer positioning shows billed-volume and code-breadth positions among specialty peers, not measures of care (a provider's true volume position can only be higher, never lower). All figures disclosed Medicare Part B fee-for-service; volumes are personal to this NPI, not attributed to any group.

Notify me at launch → Or see a live example profile →

Procedures billed to Medicare Part B (2024)

Medicare Part B FFS · CY2024 · as published by CMS
CodeDescription Services Beneficiary-episodes Avg charge Avg Medicare payment
J1010 Injection, methylprednisolone acetate, 1 mg
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
80053 Blood test, comprehensive group of blood chemicals
80061 Blood test, lipids (cholesterol and triglycerides)
83721 Ldl cholesterol level
83036 Hemoglobin a1c level
84443 Blood test, thyroid stimulating hormone (tsh)
82306 Vitamin d-3 level
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
96372 Injection of drug or substance under skin or into muscle
84439 Thyroxine (thyroid chemical), free
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
87804 Detection test by immunoassay with direct visual observation for influenza virus
82043 Urine microalbumin (protein) level
82570 Creatinine level to test for kidney function or muscle injury
81001 Manual urinalysis test with examination using microscope, automated
82607 Cyanocobalamin (vitamin b-12) level
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
G0008 Administration of influenza virus vaccine
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
80048 Blood test, basic group of blood chemicals (calcium, total)
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
90662 Influenza vaccine split virus, preservative free
77080 Dxa bone density measurement of hip, pelvis, spine
87807 Detection test by immunoassay with direct visual observation for respiratory syncytial virus
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
83880 Natriuretic peptide (heart and blood vessel protein) level
84550 Uric acid level, blood
G0103 Prostate cancer screening; prostate specific antigen test (psa)
20610 Aspiration and/or injection of fluid from large joint
82728 Ferritin (blood protein) level
71046 X-ray of chest, 2 views
83540 Iron level
83550 Iron binding capacity
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
85652 Red blood cell sedimentation rate, to detect inflammation, automated
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
69209 Removal of impacted ear wax by washing
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more

These are this provider's own Medicare Part B fee-for-service volumes (CMS public data). CMS suppresses rows with fewer than 11 beneficiaries, so low-volume codes may be missing entirely — absence is not zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average charge and average Medicare payment are weighted by service volume across office and facility settings. Volumes on this page are personal to the NPI and are not attributed to any physician group. See Methods & Sources.