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Kenneth H Ballentine, OD

Optometrist · San Jose

NPI 1548230071

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
1
1 carrier
Office
1

Offices

1 location

Plans that list them

1 plan · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Ballentine’s office at (408) 255-0576 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

Medicaid work

$4,383 in 2024

Medicaid paid $4,383 for 980 billed services this clinician did in 2024, up to 47 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
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST220$1,669
Frames, purchases219$901
Fitting of monofocal spectacles165$776
DETERMINATION REFRACTIVE STATE325$541
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST51$497
Medicaid work by year
2024980547$4,383
20231,008541$3,910
2022553530$2,179
2021569534$1,791
2020263527$632
2019347330$1,107
2018500339$1,663
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST167$1,065
Frames, purchases254$901
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST109$852
Fitting of monofocal spectacles153$659
DETERMINATION REFRACTIVE STATE325$433

2022

Largest Medicaid services in 2022
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST57$533
Frames, purchases129$518
DETERMINATION REFRACTIVE STATE249$405
Fitting of monofocal spectacles77$368
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST41$355

2021

Largest Medicaid services in 2021
Frames, purchases150$745
Fitting of monofocal spectacles88$407
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST48$320
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST31$178
DETERMINATION REFRACTIVE STATE252$142

2020

Largest Medicaid services in 2020
Frames, purchases27$248
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST16$178
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST32$107
Fitting of monofocal spectacles12$58
DETERMINATION REFRACTIVE STATE176$42

2019

Largest Medicaid services in 2019
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST91$888
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST14$142
DETERMINATION REFRACTIVE STATE242$77

2018

Largest Medicaid services in 2018
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST172$1,386
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST26$213
DETERMINATION REFRACTIVE STATE302$64

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 12 Part D prescriptions in 2017. 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

$112 in 2024

Industry payments by year
202411None$112
202111None$127
201922None$246

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Astellas Pharma USIzervay$112
1 payment
  • Meals for Izervay · 2024-10-30 · $112
See the published payment
Every published payment
Astellas Pharma USMeals · 2024-10-30Izervay$112
See earlier years (2021, 2019)

2021: $127

Payments by company in 2021
Johnson & Johnson Vision CareAcuvue$127
1 payment
  • Meals for Acuvue · 2021-09-28 · $127

2019: $246

Payments by company in 2019
Sight SciencesTearcare$125
1 payment
  • Meals for Tearcare · 2019-12-17 · $125
Johnson & Johnson Vision CareAcuvue$121
1 payment
  • Meals for Acuvue · 2019-05-01 · $121

Professional record

NPI
1548230071
Licence
CA 6863T
More record details
Sole proprietor
No
Medicaid ID
CA SD0068630
Taxonomy
Federal specialty code 152W00000X (152W00000X)
Mailing address
5275 Prospect Rd, San Jose, CA, 95129
NPI first listed
2006-01-26
NPI last updated
2010-02-03

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