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Jason Daehn Balkman, MD

Diagnostic Radiology · San Leandro

NPI 1316263387

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
3

Offices

3 locations · Permanente Medical Group Inc · 10,928 clinicians in this group

Looking this up.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Balkman’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence A135797 · Current

Licensed to practise in California · since 2015 · expires 2029-02-28 · Case Western Reserve University School of Medicine.

Matched on the licence number without its letter prefix; check the name before relying on it.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Original Medicare doctor bills

$4,056

Medicare paid this office $4,056 for 107 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Ct scan head or brain without contrast30$896$30
X-ray of chest, 1 view25$156$6

Who their Medicare patients are

107 Original Medicare patients in 2024. Average age 68 · Under 65 32% · 85 and older 14% · Women 63% · Also on Medicaid 70% · Health risk score 2.17. Above the middle of the specialty; the typical diagnostic radiology clinician is at 1.7.

Conditions among them: High blood pressure 75% · Diabetes 42% · Chronic kidney disease 40% · Depression 36% · Heart failure 27% · Coronary heart disease 23% · Dementia 21% · Stroke 21% · COPD 18% · Atrial fibrillation 18% · Cancer 13%.

The office billed $28,202, Medicare allowed $5,568 and paid $4,056; for 143 services of 40 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024107143682.17$28,202$4,056
202388127692.56$29,357$3,888
2022129180662.03$41,751$5,291
2021108127691.92$26,142$3,775
2020102142672.12$28,614$4,884
201997134692.17$25,031$4,449
2018113152661.95$35,905$5,354
2017110141672.07$22,737$3,751
20164151682.56$11,493$809
201593138672.24$12,559$1,160

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 2 services

Original Medicare services billed in 2023
Ct scan head or brain without contrast14$487$35
X-ray of chest, 1 view23$149$6

2022: 3 services

Original Medicare services billed in 2022
Ct scan of abdomen and pelvis with contrast12$803$67
Ct scan head or brain without contrast24$622$26
X-ray of chest, 1 view43$287$6

2021: 2 services

Original Medicare services billed in 2021
Ct scan head or brain without contrast30$956$32
X-ray of chest, 1 view28$210$7

2020: 3 services

Original Medicare services billed in 2020
Ct scan of abdomen and pelvis with contrast11$905$75
Ct scan head or brain without contrast13$445$34
X-ray of chest, 1 view38$301$7

2019: 2 services

Original Medicare services billed in 2019
Ct scan head or brain without contrast17$634$37
X-ray of chest, 1 view32$213$7

2018: 3 services

Original Medicare services billed in 2018
Ct scan of abdomen and pelvis without contrast14$912$65
Ct scan head or brain without contrast18$475$25
X-ray of chest, 1 view25$211$7

2017: 2 services

Original Medicare services billed in 2017
Ct scan head or brain without contrast16$572$34
X-ray of chest, 1 view, front26$203$7

2016: 1 service

Original Medicare services billed in 2016
X-ray of chest, 1 view, front19$136$7

2015: 2 services

Original Medicare services billed in 2015
X-ray of chest, 1 view, front50$517$8
X-ray of chest, 2 views, front and side22$197$9

Medicaid work

$41,774 in 2024

Medicaid paid $41,774 for 631 billed services this clinician did in 2024, up to 40 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed148$16,668
CT ABDOMEN & PELVIS W/CONTRAST MATERIAL30$6,171
CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL25$5,151
Computed tomography, head or brain; without contrast material40$4,389
SCREENING DIGITAL BREAST TOMOSYNTHESIS BI64$3,558
Radiologic examination, chest; single view186$2,771
Radiologic examination, chest; 2 views96$1,331
DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST13$988
ECHO EXAM OF ABDOMEN29$746
Medicaid work by year
2024631940$41,774
2023403627$1,755
2022442540$2,680
2021348425$1,256
2020223424$1,718
2019304538$787
2018393451$1,689
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
CT ABDOMEN & PELVIS W/CONTRAST MATERIAL27$799
Computed tomography, head or brain; without contrast material41$576
Radiologic examination, chest; single view156$273
Radiologic examination, chest; 2 views58$100
X-RAY EXAM OF FOOT20$7
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed101$0

2022

Largest Medicaid services in 2022
Computed tomography, head or brain; without contrast material50$1,449
CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL16$438
Radiologic examination, chest; single view202$365
CT ABDOMEN & PELVIS W/CONTRAST MATERIAL13$316
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed161$112

2021

Largest Medicaid services in 2021
CT ABDOMEN & PELVIS W/CONTRAST MATERIAL13$405
Radiologic examination, chest; single view123$314
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed197$281
Computed tomography, head or brain; without contrast material15$256

2020

Largest Medicaid services in 2020
CT ABDOMEN & PELVIS W/CONTRAST MATERIAL25$1,479
Radiologic examination, chest; single view95$201
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed82$29
Radiologic examination, chest; 2 views21$9

2019

Largest Medicaid services in 2019
CT ABDOMEN & PELVIS W/CONTRAST MATERIAL23$493
Computed tomography, head or brain; without contrast material12$184
Radiologic examination, chest; single view48$83
Radiologic examination, chest; 2 views21$28
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed200$0

2018

Largest Medicaid services in 2018
CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL37$915
Computed tomography, head or brain; without contrast material47$692
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed294$59
Radiologic examination, chest; single view15$24

Professional record

NPI
1316263387
Licence
CA 135797California A135797: Current · expires 2029-02-28
Trained
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University, 2010
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Diagnostic radiology (2085R0202X)
Mailing address
2500 Merced St, 1st Floor, Office 1637, San Leandro, CA, 94577
NPI first listed
2010-04-15
NPI last updated
2022-01-04

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 751 S Bascom Ave, San Jose, CA, 95128

This office lists an electronic records connection.