Debra Lee Balke, MD
Neurology With Special Qualifications in Child Neurology · Templeton
- Medicare standing
- 1 flag on the record
- Listed below.
- Plans that list them
- Not verified
- Not the same as out of network.
- Office
- 1
On the public record
- Medicare does not list them as allowed to order and refer
Offices
1 location
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. Balke’s office at (805) 434-0960 to ask if they take your plan before you enroll.
California Medical Board record
Licence G78900 · Current
Licensed to practise in California · since 1994 · expires 2028-05-31 · University of California, Los Angeles School of Medicine.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
School, training and certification
What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.
Specialty certification
- American Board of Psychiatry and Neurology - Neurology with Special Qualification in Child Neurology
Medicaid work
$142,336 in 2024
Medicaid paid $142,336 for 1,315 billed services this clinician did in 2024, up to 72 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.
| Long return visit (40+ min) | 238 | $49,024 |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex chronic condition expected to last at least 3 months, and that places the patient at significant risk of hospitalization, acute exacerbation/decompensation, functional decline, or death, the condition requires development, monitoring, or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen and/or the management of the condition is unusually complex due to comorbidities, ongoing communication and care coordination between relevant practitioners furnishing care; first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. | 382 | $32,550 |
| New patient visit (60+ min) | 123 | $31,719 |
| Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; first 30 minutes, face-to-face with the patient, family member(s), and/or surrogate | 170 | $14,515 |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex chronic condition expected to last at least 3 months, and that places the patient at significant risk of hospitalization, acute exacerbation/decompensation, functional decline, or death, the condition requires development, monitoring, or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen and/or the management of the condition is unusually complex due to comorbidities, ongoing communication and care coordination between relevant practitioners furnishing care; each additional 30 minutes provided personally by a physician or other qualified health care professional, per calendar month (List separately in addition to code for primary procedure) | 155 | $9,789 |
| Developmental screening | 64 | $3,630 |
| Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instrument | 183 | $1,108 |
| 2024 | 1,315 | 7 | 72 | $142,336 |
| 2023 | 2,421 | 9 | 82 | $312,795 |
| 2022 | 2,189 | 6 | 64 | $298,807 |
| 2021 | 1,697 | 6 | 65 | $264,562 |
| 2020 | 2,096 | 7 | 78 | $318,215 |
| 2019 | 2,474 | 8 | 66 | $304,396 |
| 2018 | 2,171 | 8 | 69 | $250,862 |
See the largest Medicaid services in earlier years
2023
| Long return visit (40+ min) | 629 | $129,376 |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex chronic condition expected to last at least 3 months, and that places the patient at significant risk of hospitalization, acute exacerbation/decompensation, functional decline, or death, the condition requires development, monitoring, or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen and/or the management of the condition is unusually complex due to comorbidities, ongoing communication and care coordination between relevant practitioners furnishing care; first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. | 733 | $62,788 |
| New patient visit (60+ min) | 242 | $62,076 |
| Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; first 30 minutes, face-to-face with the patient, family member(s), and/or surrogate | 401 | $34,111 |
| Developmental screening | 190 | $13,581 |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex chronic condition expected to last at least 3 months, and that places the patient at significant risk of hospitalization, acute exacerbation/decompensation, functional decline, or death, the condition requires development, monitoring, or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen and/or the management of the condition is unusually complex due to comorbidities, ongoing communication and care coordination between relevant practitioners furnishing care; each additional 30 minutes provided personally by a physician or other qualified health care professional, per calendar month (List separately in addition to code for primary procedure) | 157 | $9,514 |
| Screening for depression is documented as being positive and a follow-up plan is documented | 27 | $801 |
| Prolonged outpatient evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time (List separately in addition to the code of the outpatient Evaluation and Management service) | 14 | $397 |
| Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instrument | 28 | $150 |
2022
| Long return visit (40+ min) | 581 | $150,486 |
| New patient visit (60+ min) | 221 | $75,023 |
| Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; first 30 minutes, face-to-face with the patient, family member(s), and/or surrogate | 488 | $43,387 |
| Chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditions that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, comprehensive care plan established, implemented, revised, or monitored; first 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month. | 315 | $21,594 |
| Developmental screening | 46 | $5,347 |
| Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instrument | 538 | $2,970 |
2021
| Long return visit (40+ min) | 527 | $136,077 |
| New patient visit (60+ min) | 186 | $61,626 |
| Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; first 30 minutes, face-to-face with the patient, family member(s), and/or surrogate | 443 | $39,573 |
| Chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditions that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, comprehensive care plan established, implemented, revised, or monitored; first 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month. | 413 | $18,076 |
| Developmental screening | 76 | $8,904 |
| Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instrument | 52 | $306 |
2020
| Long return visit (40+ min) | 489 | $109,185 |
| Prolonged service(s) in the outpatient setting requiring direct patient contact beyond the time of the usual service; first hour (List separately in addition to code for outpatient Evaluation and Management or psychotherapy service, except with office or other outpatient services [99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215]) | 657 | $88,692 |
| New patient visit (60+ min) | 218 | $68,504 |
| Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; first 30 minutes, face-to-face with the patient, family member(s), and/or surrogate | 295 | $26,410 |
| Chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditions that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, comprehensive care plan established, implemented, revised, or monitored; first 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month. | 331 | $14,804 |
| Developmental screening | 94 | $9,867 |
| Electroencephalogram (EEG); including recording awake and asleep | 12 | $753 |
2019
| Long return visit (40+ min) | 457 | $87,974 |
| Prolonged service(s) in the outpatient setting requiring direct patient contact beyond the time of the usual service; first hour (List separately in addition to code for outpatient Evaluation and Management or psychotherapy service, except with office or other outpatient services [99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215]) | 653 | $86,100 |
| New patient visit (60+ min) | 225 | $63,237 |
| Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; first 30 minutes, face-to-face with the patient, family member(s), and/or surrogate | 316 | $26,938 |
| Chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditions that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, comprehensive care plan established, implemented, revised, or monitored; first 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month. | 597 | $26,209 |
| Developmental screening | 186 | $10,515 |
| Electroencephalogram (EEG); including recording awake and asleep | 27 | $2,030 |
| Digital analysis of electroencephalogram (EEG) (eg, for epileptic spike analysis) | 13 | $1,393 |
2018
| Prolonged service(s) in the outpatient setting requiring direct patient contact beyond the time of the usual service; first hour (List separately in addition to code for outpatient Evaluation and Management or psychotherapy service, except with office or other outpatient services [99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215]) | 642 | $81,617 |
| Long return visit (40+ min) | 443 | $65,233 |
| New patient visit (60+ min) | 205 | $48,776 |
| Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; first 30 minutes, face-to-face with the patient, family member(s), and/or surrogate | 336 | $27,758 |
| Chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditions that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, comprehensive care plan established, implemented, revised, or monitored; first 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month. | 435 | $18,656 |
| Developmental screening | 86 | $5,093 |
| Electroencephalogram (EEG); including recording awake and asleep | 12 | $1,981 |
| Digital analysis of electroencephalogram (EEG) (eg, for epileptic spike analysis) | 12 | $1,749 |
Drugs they prescribed that Part D paid
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 0% of their 21 Part D prescriptions in 2013. Too few prescriptions to judge: with under about 50 a year, a handful of patients can swing this share.
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
Money from drug and device companies
$82 in 2025
| 2025 | 1 | 5 | None | $82 |
| 2022 | 1 | 2 | None | $1 |
| 2021 | 1 | 1 | None | $13 |
| 2020 | 1 | 1 | None | $18 |
| 2019 | 2 | 27 | None | $257 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| Supernus Pharmaceuticals | Qelbree | $82 | 5 payments
|
See all 5 published payments
| Supernus Pharmaceuticals | Meals · 2025-08-21 | Qelbree | $14 |
| Supernus Pharmaceuticals | Meals · 2025-08-21 | Qelbree | $14 |
| Supernus Pharmaceuticals | Meals · 2025-07-02 | Qelbree | $18 |
| Supernus Pharmaceuticals | Meals · 2025-06-04 | Qelbree | $18 |
| Supernus Pharmaceuticals | Meals · 2025-05-07 | Qelbree | $18 |
See earlier years (2022, 2021, 2020, 2019)
2022: $1
| Travere Therapeutics | Cholbam | $1 | 2 payments
|
2021: $13
| Zogenix | Fintepla | $13 | 1 payment
|
2020: $18
| Greenwich Biosciences | Epidiolex | $18 | 1 payment
|
2019: $257
| Greenwich Biosciences | Epidiolex | $140 | 1 payment
|
| Sunovion Pharmaceuticals | Aptiom | $117 | 26 payments
|
Professional record
- NPI
- 1508940081
- Licence
- CA G78900California G78900: Current · expires 2028-05-31
More record details
- Sole proprietor
- Yes
- Taxonomy
- Federal specialty code 2084N0402X (2084N0402X)
- Mailing address
- 1320 Las Tablas Rd, Suite E, Templeton, CA, 93465
- NPI first listed
- 2006-10-24
- NPI last updated
- 2007-07-08
This is when the NPI record was last certified, not a medical board exam.