Doctor profile · Federal record
Dr. Gemma Balcita
Psychiatric/Mental Health Nurse Practitioner (CMS: Nurse Practitioner) · Carlsbad, CA
- NPI 1750033155
- Accepts Medicare
- MIPS 70.6 / 100 · 2023
- 5 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
5838 Edison Pl
Carlsbad, CA 920085520
(888) 515-3834 - Additional location
-
1010 W Chapman Ave
Orange, CA 928682847
(714) 633-4300 - Mailing address
-
Po Box 2443
Garden Grove, CA 928422443
Credentials & registration
- NPI registered
- January 2022 — 4 yrs on file
- Profile last updated
- December 26, 2022
- Year of graduation
- 2021 — 5 yrs since
- Specialty taxonomy
- 363LP0808X — NUCC code
- State license (1)
- California #95019380
- Medicaid
- CA #529902
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1750033155. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
861
Distinct HCPCS
5
Medicare allowed
$87,193
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99309 |
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 454 | 147 | $93 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 167 | 43 | $71 | |
90792 |
Psychiatric diagnostic evaluation with medical services | 106 | 105 | $170 | |
99309 |
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 89 | 67 | $94 | |
90792 |
Psychiatric diagnostic evaluation with medical services | 45 | 45 | $151 |
In context: peer comparison
Among 6 peers in Carlsbad Psychiatric/Mental Health Nurse Practitioner, average services per provider: 134. This provider delivers 6.4× the peer median.Open Payments
Industry payments received
All-time total
$793
Transactions
7
Manufacturers
6
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Neurocrine Biosciences, INC. | 2 | $158.05 | |
| Janssen Pharmaceuticals, INC | 1 | $149.86 | |
| Vanda Pharmaceuticals INC. | 1 | $124.99 | |
| E.R. Squibb & Sons, L.L.C. | 1 | $121.03 | |
| Teva Pharmaceuticals USA, INC. | 1 | $120.08 | |
| Otsuka America Pharmaceutical, INC. | 1 | $118.80 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
13
Patients
0
Total drug cost
$253
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Lamotrigine | Generic | 13 | 0 | $253 |
Frequently asked questions
What is Dr. Gemma Balcita's medical specialty?
Dr. Gemma Balcita practices Psychiatric/Mental Health Nurse Practitioner in Carlsbad, CA.
Where does Dr. Gemma Balcita practice?
Dr. Gemma Balcita practices at 5838 Edison Pl, Carlsbad, CA 920085520. Office phone: 8885153834.
What is Dr. Gemma Balcita's NPI?
Dr. Gemma Balcita's National Provider Identifier (NPI) is 1750033155, issued by NPPES.
Does Dr. Gemma Balcita accept Medicare assignment?
Yes. Dr. Gemma Balcita accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Gemma Balcita commonly perform?
Top Medicare-reported procedures in 2023: Subsequent nursing facility care with moderate level of medical decision making (HCPCS 99309); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Psychiatric diagnostic evaluation with medical services (HCPCS 90792). Source: CMS Medicare Physician & Other Practitioners file.