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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Elisabeth Balken
๐Ÿ‘ฉโ€โš•๏ธ
NPIndividual

Elisabeth Balken, FNP

NPI: 1992489728
Mesa, AZ
1 year of data
Nurse Practitioner
$23.3M
Total Payments
2
Beneficiaries
29.7K
Services
1.28x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$23.3M
Specialty median$25.9K

๐Ÿ“‹ Key Findings

1Billed $23.3M over 1 year
299th percentile in Nurse Practitioner by payments
3119 services/day โ€” unusually high

This provider averages 119 services per working day

Based on 29.7K total services over 1 year (250 working days/year). Learn about impossible service volumes โ†’

๐Ÿ”Ž Data Analysis

This provider's $23.3M in total Medicare payments ranks in the 99th percentile of Nurse Practitioner providers nationally.

Averaging 119 services per working day raises questions about billing patterns.

100% of their billing comes from a single procedure code (Q4262 โ€” Dual layer impax membrane, per square centimeter).

AI-generated analysis based on Medicare payment data.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2023$1.0K$784.771.28x$216.32$23.3M29.7K2

Top Procedures (2)

Q4262Dual layer impax membrane, per square centimeter
$23.3M
29.5K services$788.95/svc1.28x markup
15274Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less
$9.2K
169 services$54.16/svc1.64x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
Q4262Dual layer impax membrane, per square centimeter29.5K$23.3M$788.951.28x
15274Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less169$9.2K$54.161.64x

Markup Analysis

Charge-to-Payment Ratio

1.28x

This provider submits charges 1.28 times higher than what Medicare actually pays.

What This Means

A markup ratio of 1.28x means for every $100 Medicare pays, this provider initially charges $128. This is lower than the national average.

Location

Mesa, AZ

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Nurse Practitioner providers in AZ for peer comparison.

Elisabeth Balken (you)
$23.3M
Ira Denny, APRN-FNP
$135.3M
Jorge Kinds, FNP
$123.9M
Carlos Ching, FNP
$62.9M
Bethany Jameson, FNP
$49.9M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Ira Denny, APRN-FNPSurprise, AZ$135.3Mโœ“ Clear
Jorge Kinds, FNPPhoenix, AZ$123.9Mโœ“ Clear
Carlos Ching, FNPPhoenix, AZ$62.9Mโœ“ Clear
Bethany Jameson, FNPGilbert, AZ$49.9Mโœ“ Clear

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.

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