Keith E. Ballinger , PA-C
Urology • Mattoon, IL
1000 Health Center Dr Ste 305
Mattoon, IL 619384644
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on August 2, 2006; this date does not establish years in practice.
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Published CMS data list 1,351 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.
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Published Part B service records, 2024:
- 99214 — Established patient outpatient office visit: 426 service units.
- 51741 — Electronic assessment of bladder emptying: 181 service units.
- G2211 — Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's: 142 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 14 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 2,474 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Tamsulosin Hcl — 882 prescription fills, including refills.
- Finasteride — 740 prescription fills, including refills.
- Alfuzosin Hcl Er (Alfuzosin Hcl) — 178 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 22 records in the table · Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Urology in Illinois (2024, 313 clinicians with data). Median for this group: 1,869. Middle half: 703 to 4,858.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 658 in 2020 to 1,351 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
1000 Health Center Dr Ste 305
Mattoon, IL 619384644
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: Sarah Bush Lincoln Health Center. 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
2002
What Public CMS Data Show
Urology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
441 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 $72,418 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 $48,970 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.
30-day fills
5,694 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$113,787 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $486.13 across 10 records.
By nature of payment
- Food and Beverage: $458.07 across 9 records.
- Education: $28.06 across 1 record.
Reporting-company totals (3 largest of 8)
- ViiV Healthcare Company: $125.00 across 1 record.
- Alkermes, Inc.: $120.66 across 1 record.
- Dynavax Technologies Corporation: $99.99 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
24 years (graduated 2002)
CMS Doctors and Clinicians data list 2002 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
2006
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)
Keith Ballinger 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.
Can order Medicare-covered services
CMS lists Keith Ballinger as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Mattoon and Illinois
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Urology in Illinois (2024, 313 clinicians with data). Median for this group: 1,869. Middle half: 703 to 4,858.
Too few clinicians listed under Urology in Mattoon have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 70% of clinicians listed under Urology in Illinois (2024, 313 clinicians with data). Median for this group: $150,002. Middle half: $69,734 to $268,150.
Too few clinicians listed under Urology in Mattoon have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 75% of clinicians listed under Urology in Illinois (2024, 313 clinicians with data). Median for this group: $113,671. Middle half: $51,216 to $199,881.
Too few clinicians listed under Urology in Mattoon have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 85% of clinicians listed under Urology in Illinois (2024, 381 clinicians with data). Median for this group: 813. Middle half: 123 to 1,932.
Too few clinicians listed under Urology in Mattoon have Medicare Part D data for 2024 to compare.
Part D drug cost
Close to the middle for clinicians listed under Urology in Illinois (2024, 381 clinicians with data). Median for this group: $79,867. Middle half: $8,053 to $301,934.
Too few clinicians listed under Urology in Mattoon have Medicare Part D data for 2024 to compare.
4 active clinicians are listed under Urology with a practice address in Mattoon, IL (629 in Illinois).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 105% from 658 in 2020 to 1,351 in 2024.
- 2020: 658
- 2021: 674
- 2022: 847
- 2023: 1,342
- 2024: 1,351
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Medicare-allowed amount
Medicare-allowed amount increased 60% from $45,288 in 2020 to $72,418 in 2024.
- 2020: $45,288
- 2021: $53,519
- 2022: $54,662
- 2023: $69,837
- 2024: $72,418
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Paid by Medicare
Paid by Medicare increased 63% from $29,978 in 2020 to $48,970 in 2024.
- 2020: $29,978
- 2021: $37,919
- 2022: $36,952
- 2023: $49,142
- 2024: $48,970
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Medicare Part D prescriptions
Medicare Part D prescriptions varied from year to year: 2,387 in 2020 and 2,474 in 2024.
- 2020: 2,387
- 2021: 2,348
- 2022: 2,931
- 2023: 1,877
- 2024: 2,474
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30-day fills
30-day fills increased 15% from 4,967 in 2020 to 5,694 in 2024.
- 2020: 4,967
- 2021: 5,165
- 2022: 6,179
- 2023: 4,226
- 2024: 5,694
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Part D drug cost
Part D drug cost decreased 29% from $159,400 in 2020 to $113,787 in 2024.
- 2020: $159,400
- 2021: $92,494
- 2022: $112,923
- 2023: $110,818
- 2024: $113,787
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $25.60 in 2021 to $486.13 in 2025.
- 2021: $25.60
- 2022: $2,121.15
- 2023: $1,871.40
- 2024: $356.43
- 2025: $486.13
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $486.13.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| ViiV Healthcare Company |
Food and Beverage
In-kind items and services
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RUKOBIA | General | $125.00 |
| Alkermes, Inc. |
Food and Beverage
In-kind items and services
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ARISTADA | General | $120.66 |
| Dynavax Technologies Corporation |
Food and Beverage
In-kind items and services
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Heplisav-B | General | $99.99 |
| Medtronic, Inc. |
Education
In-kind items and services
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INTERSTIM | General | $28.06 |
| Sumitomo Pharma America, Inc. |
Food and Beverage
In-kind items and services
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GEMTESA | General | $23.18 |
| Merck Sharp & Dohme LLC |
Food and Beverage
In-kind items and services
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KEYTRUDA | General | $20.25 |
| Merck Sharp & Dohme LLC |
Food and Beverage
In-kind items and services
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KEYTRUDA | General | $19.26 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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Kerendia | General | $17.17 |
| Laborie Medical Technologies Corp. |
Food and Beverage
Cash or cash equivalent
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— | General | $16.56 |
| Sumitomo Pharma America, Inc. |
Food and Beverage
In-kind items and services
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GEMTESA | General | $16.00 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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, 2017–2024; 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 |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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426 | 286 | $285.41 | $81.79 |
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51741
Electronic assessment of bladder emptying
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181 | 146 | $241.57 | $6.83 |
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G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
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142 | 123 | $40.00 | $13.78 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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137 | 102 | $280.85 | $92.81 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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92 | 80 | $392.99 | $121.53 |
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51798
Ultrasound measurement of bladder capacity after voiding
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73 | 67 | $74.00 | $10.46 |
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81003
Automated urinalysis test
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65 | 56 | $26.00 | $2.20 |
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51741
Electronic assessment of bladder emptying
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58 | 45 | $239.72 | $7.17 |
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51702
Simple insertion of temporary bladder tube
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43 | 17 | $404.53 | $21.34 |
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51700
Simple bladder irrigation and/or instillation
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38 | 32 | $369.11 | $25.02 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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31 | 27 | $190.84 | $55.46 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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25 | 24 | $386.80 | $134.09 |
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G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
|
22 | 22 | $40.00 | $13.88 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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18 | 18 | $463.00 | $106.61 |
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.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Tamsulosin Hcl | Tamsulosin Hcl | 882 | 66,020 | $17,092.56 | 296 |
| Finasteride | Finasteride | 740 | 55,523 | $9,373.97 | 231 |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 178 | 11,894 | $3,737.25 | 63 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 87 | 1,867 | $382.94 | 69 |
| Methenamine Hippurate | Methenamine Hippurate | 86 | 5,472 | $7,532.52 | 30 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 85 | 4,672 | $1,540.06 | 21 |
| Myrbetriq | Mirabegron | 39 | 2,151 | $32,988.21 | 11 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 35 | 246 | $357.56 | 31 |
| Cephalexin | Cephalexin | 33 | 187 | $140.43 | 32 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 32 | 128 | $54.79 | 31 |
| Oxybutynin Chloride | Oxybutynin Chloride | 30 | 1,060 | $747.82 | — |
| Dutasteride | Dutasteride | 30 | 2,610 | $1,685.30 | — |
| Tadalafil | Tadalafil | 30 | 1,920 | $4,244.19 | — |
| Silodosin | Silodosin | 29 | 2,610 | $2,866.89 | — |
| Gemtesa | Vibegron | 26 | 1,374 | $22,394.03 | — |
| Solifenacin Succinate | Solifenacin Succinate | 24 | 1,375 | $1,500.76 | — |
| Bethanechol Chloride | Bethanechol Chloride | 23 | 1,710 | $2,207.70 | — |
| Amitriptyline Hcl | Amitriptyline Hcl | 22 | 1,920 | $343.31 | — |
| Estradiol | Estradiol | 18 | 1,018 | $1,054.27 | 12 |
| Testosterone | Testosterone | 18 | 700 | $2,835.62 | — |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 15 | 359 | $291.28 | 14 |
| Bicalutamide | Bicalutamide | 12 | 840 | $415.73 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-10-22NUCC Taxonomy Code: 208800000X
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20040506000542
IL
9931197910
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
Sarah Bush Lincoln Health Center
101 Professional Plz, Mattoon, IL 619389252
Phone: 2172383730
Sarah Bush Lincoln Health Center
1000 Health Ctr Dr, Mattoon, IL 619384644
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Advanced Practice Nurse
Urology
MDDO
Urology
Doctor of Medicine (M.D.)
Nurse Practitioner
Advanced Practice Nurse
Urology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at PO BOX 372, MATTOON, IL 619380372
Registered at 1000 HEALTH CENTER DR STE 305, MATTOON, IL 619384644 (Tel: 2172584186)
Registered at 1005 HEALTH CENTER DR STE 201, MATTOON, IL 619384693 (Tel: 2172386055)
NPI status registered as active in NPPES database
Registered at 211 S WALNUT ST, ARTHUR, IL 619111269 (Tel: 2175433444)
Registered at 211 S WALNUT ST, ARTHUR, IL 619111269 (Tel: 2175433444)
Recorded as KEITH BALLINGER, PA C
Physician Assistant (license number reported to NPPES: IL 085001872)
NPI status registered as active in NPPES database
Registered at 168 COURTHOUSE SQUARE, TOLEDO, IL 62468 (Tel: 2178493151)
Registered at 1005 HEALTH CENTER DR # I, SYSTEM PRACTICES, SUITE 202, MATTOON, IL 619384693 (Tel: 2172582576)
Recorded as KEITH BALLINGER, PA C
Physician Assistant (license number reported to NPPES: IL 085001872)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Urology Specialists in Mattoon
Healthcare providers in MattoonMailing Address
Po Box 372
Mattoon, IL 619380372