Dr. Edwin Lu Ballada , DPT
Physical Therapist • Eustis, FL
411 W Woodward Ave
Eustis, FL 327264554
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
Dr. Edwin Ballada is listed in NPPES under Physical Therapist.
-
NPI assigned on March 14, 2007; this date does not establish years in practice.
-
Published CMS data list 1,783 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
-
Published Part B service records, 2024:
- 97110 — Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility: 892 service units.
- 97140 — Therapy procedure using manual technique: 288 service units.
- 97112 — Therapy procedure to re-educate brain-to-nerve-to-muscle function: 230 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 7 records in the table · Guide: How to read Medicare Part B data
-
Close to the middle for Medicare Part B services among clinicians listed under Physical Therapist in Florida (2024, 2,944 clinicians with data). Median for this group: 2,205. Middle half: 941 to 4,135.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part B services went from 8,388 in 2020 to 1,783 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
411 W Woodward Ave
Eustis, FL 327264554
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Rose Wellness Clinic Llc.. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2017
What Public CMS Data Show
Physical Therapist: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
80 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $40,686 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $31,683 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Years since graduation
9 years (graduated 2017)
CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2007
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Ballada has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Eustis and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Physical Therapist in Florida (2024, 2,944 clinicians with data). Median for this group: 2,205. Middle half: 941 to 4,135.
Too few clinicians listed under Physical Therapist in Eustis have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 60% of clinicians listed under Physical Therapist in Florida (2024, 2,944 clinicians with data). Median for this group: $56,277. Middle half: $25,193 to $107,292.
Too few clinicians listed under Physical Therapist in Eustis have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 60% of clinicians listed under Physical Therapist in Florida (2024, 2,944 clinicians with data). Median for this group: $42,900. Middle half: $19,162 to $81,922.
Too few clinicians listed under Physical Therapist in Eustis have Medicare Part B data for 2024 to compare.
19 active clinicians are listed under Physical Therapist with a practice address in Eustis, FL (14,439 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Eustis
0% of these 19 clinicians have the CMS telehealth indicator.
5.3% of these 19 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Medicare Part B services
Medicare Part B services decreased 79% from 8,388 in 2020 to 1,783 in 2024.
- 2020: 8,388
- 2021: 103
- 2022: 3,733
- 2023: 3,247
- 2024: 1,783
-
Medicare-allowed amount
Medicare-allowed amount decreased 80% from $203,402 in 2020 to $40,686 in 2024.
- 2020: $203,402
- 2021: $2,597
- 2022: $82,837
- 2023: $72,908
- 2024: $40,686
-
Paid by Medicare
Paid by Medicare decreased 79% from $153,916 in 2020 to $31,683 in 2024.
- 2020: $153,916
- 2021: $1,548
- 2022: $64,216
- 2023: $52,396
- 2024: $31,683
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2019–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
97110
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
|
892 | 78 | $65.10 | $20.78 |
|
97140
Therapy procedure using manual technique, each 15 minutes
|
288 | 72 | $59.96 | $18.62 |
|
97112
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
|
230 | 49 | $68.44 | $27.04 |
|
97012
Application of mechanical traction
|
123 | 31 | $33.10 | $9.81 |
|
G0283
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
|
111 | 33 | $27.60 | $7.86 |
|
97530
Therapy procedure using functional activities
|
74 | 33 | $74.04 | $30.06 |
|
97162
Evaluation for physical therapy, typically 30 minutes
|
65 | 61 | $162.98 | $96.39 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-09-09NUCC Taxonomy Code: 225100000X
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
I20160627001874
FL
8628369345
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Rose Wellness Clinic Llc.
910 Old Camp Rd, The Villages, FL 321625605
Phone: 3527752180
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Speech-Language Pathologist
Speech-Language Pathologist, CF
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 411 W WOODWARD AVE, EUSTIS, FL 327264554 (Tel: 3523573565)
Registered at 411 W WOODWARD AVE, EUSTIS, FL 327264554 (Tel: 3523573565)
Recorded as EDWIN BALLADA, DPT
NPI status registered as active in NPPES database
Registered at 2800 RULEME ST APT 46, EUSTIS, FL 327266512 (Tel: 3526179326)
Registered at 910 OLD CAMP RD, STE 92, THE VILLAGES, FL 321625605 (Tel: 3527752180)
Recorded as EDWIN BALLADA, RPT
Physical Therapist (license number reported to NPPES: FL 23177)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
411 W Woodward Ave
Eustis, FL 327264554
Phone: 3523573565