Physician Assistant · Sheboygan, WI
NPI
1548640774
Since 2015
Specialty
Physician Assistant
Code 363A00000X
Group practices
2
Medicare group memberships
Hospitals
3
Hospital affiliations
2124 Kohler Memorial Dr
Sheboygan, WI, 53081
Phone (883) 821-7246
Groups this clinician bills Medicare through
Medicare paid, 2024
$59K
1,074 services
Medicare patients, 2024
334
Average age 69
Drug cost, 2024
$763K
5,586 prescriptions
Company payments, 2025
$2,518
From 19 companies
Procedures and visits billed to Original Medicare, 2024
In 2024, the most common Medicare service billed by Brant M Balthazor was code 99213 (office e&m - established), 498 times for 259 patients. In total Brant M Balthazor billed 1,074 services in 14 codes, and Medicare paid $59K.
| Code |
|---|
Official US government data: the national provider registry and Medicare enrollment records, linked by NPI. Last update of this record: 2024-01-07.
| Setting |
|---|
| Services |
|---|
| Patients |
|---|
| Paid per service |
|---|
| Medicare paid |
|---|
| 99213 Office E&M - Established | Office | 498 | 259 | $51.48 | $26K |
| 99214 Office E&M - Established | Office | 218 | 150 | $71.32 | $16K |
| 80307 Drug Tests | Office | 191 | 144 | $56.27 | $11K |
| 62370 Musculoskeletal | Office | 53 | 23 | $55.39 | $2,935 |
| 76942 Ultrasound - Nonspecific | Office | 48 | 23 | $36.58 | $1,756 |
By year: 2022 $3,005 for 45 services; 2023 $9,825 for 158 services; 2024 $59K for 1,074 services.
Lab tests billed to Medicare, 2024
| Test code | Tests | Patients | Paid per test | Medicare paid |
|---|---|---|---|---|
| 80307 Drug Tests | 191 | 144 | $56.27 | $11K |
Medicare prescription drug claims, 2024
In 2024, the drug Brant M Balthazor prescribed most often to Medicare patients was Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen), with 1,036 prescriptions and refills. In total Brant M Balthazor wrote 5,586 Medicare prescriptions that cost $763K.
| Drug | Claims | 30-day fills | Patients | Cost |
|---|---|---|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 1,036 | 1,036 | 282 | $28K |
| Gabapentin Generic | 397 | 571 | 122 | $7,373 |
| Tizanidine Hcl Generic | 337 | 443 | 119 | $3,526 |
| Tramadol Hcl Generic | 285 | 285 | 74 | $2,594 |
| Morphine Sulfate Er Morphine Sulfate | 274 | 274 | 61 | $6,497 |
| Pregabalin Generic | 245 | 305 | 76 | $6,870 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 238 | 238 | 67 | $6,174 |
| Belbuca Buprenorphine Hcl | 237 | 237 | 60 | $189K |
| Cyclobenzaprine Hcl Generic | 193 | 235 | 80 | $1,686 |
| Buprenorphine Generic | 188 | 188 | 57 | $45K |
| Morphine Sulfate Generic | 175 | 175 | 45 | $3,774 |
| Nucynta Tapentadol Hcl | 172 | 172 | 38 | $154K |
| Xtampza Er Oxycodone Myristate | 139 | 139 | 28 | $59K |
| Oxycodone Hcl Generic | 134 | 134 | 38 | $2,809 |
| Acetaminophen-Codeine Acetaminophen With Codeine | 109 | 109 | 32 | $1,649 |
Brand drugs: 940 claims; generic drugs: 4,646 claims; opioid claims: 3,316.
Money and other things of value reported by the companies
In 2025, drug and medical device companies paid Brant M Balthazor $2,518 ($2,518 in general payments such as food, travel and fees) from 19 companies. The largest payer was Abbott Laboratories with $855.
| Company | Payments | Amount |
|---|---|---|
| Abbott Laboratories ABT | 8 | $855 |
| Collegium Pharmaceutical, Inc. COLL | 15 | $236 |
| Abbvie Inc. ABBV | 9 | $199 |
| IBSA Pharma Inc. | 10 | $137 |
| Boston Scientific Corporation BSX | 1 | $136 |
| Pfizer Inc. PFE | 7 | $128 |
| SPR Therapeutics, Inc | 2 | $125 |
| Axsome Therapeutics, Inc. AXSM | 1 | $121 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC BHC | 5 | $100 |
| Vertex Pharmaceuticals Incorporated VRTX | 4 | $97.99 |
Official US government data on Original Medicare services, Medicare prescription drug plans and the payments drug and device companies must report. Services with fewer than 11 patients and drugs with fewer than 11 claims are not published. Procedure codes are shown by number with their public category.