Sarena Balon , PA
Physician Assistant โข Johnston, RI
1239 Hartford Ave Ste 3
Johnston, RI 029197137
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 June 11, 2022; this date does not establish years in practice.
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Published CMS data list 756 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ 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 โ Established patient outpatient office visit: 214 service units.
- 99204 โ New patient outpatient office visit: 104 service units.
- 71046 โ X-ray of chest, 2 views: 78 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ 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 15 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 188 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) โ 51 prescription fills, including refills.
- Nitrofurantoin Mono-Macro (Nitrofurantoin Monohyd/M-Cryst) โ 36 prescription fills, including refills.
- Doxycycline Hyclate โ 32 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 7 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Rhode Island (2024, 348 clinicians with data). Median for this group: 233. Middle half: 78 to 486.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 281 in 2022 to 756 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022โ2024.
Practice Location & Contact Primary Location
1239 Hartford Ave Ste 3
Johnston, RI 029197137
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 2 distinct group names: Mdri Llc; Patriot Urgent Care Professionals Pc. 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
2022
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
335 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 โ by Provider, 2024.
Medicare-allowed amount
About $62,674 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 โ by Provider and Service, 2024.
Paid by Medicare
About $48,952 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 โ by Provider and Service, 2024.
30-day fills
188 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
$2,038 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 โ by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021โ2025.
Years since graduation
4 years (graduated 2022)
CMS Doctors and Clinicians data list 2022 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
2022
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, โDoes your provider accept Medicare as full payment?โ
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)
Sarena Balon 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 Sarena Balon 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 Johnston and Rhode Island
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Rhode Island (2024, 348 clinicians with data). Median for this group: 233. Middle half: 78 to 486.
Too few clinicians listed under Physician Assistant in Johnston have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 90% of clinicians listed under Physician Assistant in Rhode Island (2024, 348 clinicians with data). Median for this group: $17,396. Middle half: $6,065 to $31,744.
Too few clinicians listed under Physician Assistant in Johnston have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 90% of clinicians listed under Physician Assistant in Rhode Island (2024, 348 clinicians with data). Median for this group: $13,448. Middle half: $4,267 to $23,050.
Too few clinicians listed under Physician Assistant in Johnston have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Fewer Part D prescriptions than 80% of clinicians listed under Physician Assistant in Johnston, RI (2024, 11 clinicians with data). Median for this group: 407. Middle half: 211 to 760.
Close to the middle for clinicians listed under Physician Assistant in Rhode Island (2024, 413 clinicians with data). Median for this group: 244. Middle half: 75 to 768.
Part D drug cost
A lower Part D drug cost than 70% of clinicians listed under Physician Assistant in Johnston, RI (2024, 11 clinicians with data). Median for this group: $7,016. Middle half: $1,590 to $56,321.
Close to the middle for clinicians listed under Physician Assistant in Rhode Island (2024, 413 clinicians with data). Median for this group: $3,036. Middle half: $627 to $42,746.
16 active clinicians are listed under Physician Assistant with a practice address in Johnston, RI (684 in Rhode Island).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Johnston
12.5% of these 16 clinicians have the CMS telehealth indicator.
62.5% of these 16 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.
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Medicare Part B services
Medicare Part B services increased 169% from 281 in 2022 to 756 in 2024.
- 2022: 281
- 2023: 674
- 2024: 756
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Medicare-allowed amount
Medicare-allowed amount increased 173% from $22,977 in 2022 to $62,674 in 2024.
- 2022: $22,977
- 2023: $58,417
- 2024: $62,674
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Paid by Medicare
Paid by Medicare increased 143% from $20,156 in 2022 to $48,952 in 2024.
- 2022: $20,156
- 2023: $45,386
- 2024: $48,952
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Medicare Part D prescriptions
Medicare Part D prescriptions stayed about the same: 192 in 2023 and 188 in 2024.
- 2023: 192
- 2024: 188
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30-day fills
30-day fills stayed about the same: 192 in 2023 and 188 in 2024.
- 2023: 192
- 2024: 188
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Part D drug cost
Part D drug cost increased 24% from $1,641 in 2023 to $2,038 in 2024.
- 2023: $1,641
- 2024: $2,038
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021โ2023 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 โ by Provider and Service data, 2022โ2024; 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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214 | 176 | $209.76 | $118.79 |
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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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104 | 104 | $358.00 | $154.05 |
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71046
X-ray of chest, 2 views
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78 | 75 | $156.00 | $9.53 |
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87635
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
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69 | 65 | $150.00 | $50.28 |
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81003
Automated urinalysis test
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54 | 48 | $32.00 | $2.20 |
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87502
Detection test by nucleic acid for multiple types influenza virus
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54 | 52 | $143.70 | $93.88 |
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87651
Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique
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51 | 50 | $100.00 | $34.39 |
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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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20 | 19 | $173.50 | $84.66 |
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87811
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)
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19 | 19 | $150.00 | $40.55 |
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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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19 | 18 | $312.00 | $166.26 |
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69209
Removal of impacted ear wax by washing
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16 | 16 | $26.59 | $19.26 |
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73562
X-ray of knee, 3 views
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16 | 14 | $55.00 | $8.15 |
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73630
X-ray of foot, minimum of 3 views
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16 | 15 | $52.75 | $8.66 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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14 | 14 | $238.00 | $103.54 |
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99205
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
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12 | 12 | $474.00 | $202.26 |
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 |
|---|---|---|---|---|---|
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 51 | 360 | $425.66 | 50 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 36 | 190 | $302.53 | 33 |
| Doxycycline Hyclate | Doxycycline Hyclate | 32 | 209 | $184.57 | 32 |
| Azithromycin | Azithromycin | 21 | 105 | $98.36 | 21 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 18 | 112 | $59.44 | 17 |
| Cephalexin | Cephalexin | 17 | 105 | $750.98 | 17 |
| Erythromycin | Erythromycin Base | 13 | 97 | $216.03 | 12 |
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: 2026-03-30NUCC 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
I20260424002643
RI
9739563842
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
Patriot Urgent Care Professionals Pc
1210 Boylston St, Chestnut Hill, MA 024672109
Phone: 7744004084
Patriot Urgent Care Professionals Pc
4110 Mystic Valley Pkwy, Medford, MA 021556916
Phone: 7744004084
Mdri Llc
1239 Hartford Ave, Johnston, RI 029197137
Phone: 4012091730
Patriot Urgent Care Professionals Pc
1030 Main St, Waltham, MA 024517447
Phone: 7818946900
Patriot Urgent Care Professionals Pc
648 Old W Central St, Franklin, MA 020383826
Phone: 7744004084
Patriot Urgent Care Professionals Pc
154 Great Rd, Bedford, MA 017302725
Phone: 7814308161
Patriot Urgent Care Professionals Pc
1019 Trapelo Rd, Waltham, MA 024525002
Phone: 7744004084
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1239 HARTFORD AVE STE 3, JOHNSTON, RI 029197137 (Tel: 4012091730)
Physician Assistant (license number reported to NPPES: RI PA01884)
NPI status registered as active in NPPES database
Registered at 154 GREAT RD, BEDFORD, MA 017302725 (Tel: 7814308161)
Registered at 154 GREAT RD, BEDFORD, MA 017302725
Recorded as SARENA BALON, PA
Physician Assistant
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Johnston
- Michael Gunson
- Gillian Melikian, PA-C
- Alyssa Rebussini, PA-C
- Thomas Tedeschi
- Brittany Bertone, PA-C
- Lisa Rampone, PA
Mailing Address
154 Great Rd
Bedford, MA 017302725