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PROVIDER PROFILE · NPI 1013949254

Nader BalbaMD

GastroenterologyFairfax, VAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
80.5
Quality
56.1
Cost
80.6
Improvement activities
40.0
Promoting interop.
98.0
Payment adjustment
0.23%
Group
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 490101
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
620
Beneficiaries
—
Total drug cost
$161K
Distinct drugs
12
Brand share
33.4%
Top prescribed drugs
Famotidine196 claims
Pantoprazole Sodium137 claims
Peg3350/Sod Sulf,bicarb,cl/Kcl76 claims
Sodium, Potassium,mag Sulfates49 claims
Mesalamine28 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
757
Unique beneficiaries
—
Total services
1,146
Distinct HCPCS
13
Medicare payment
$113K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 375 Gastroenterology providers in VA — top quintile (cohort median 781).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$482
Payment records
22
By payment type
Food and Beverage$443
Education$39
REFERRAL NETWORK

Where Nader Balba's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 10 inbound referrers · 24 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Quest Diagnostics Incorporated Md
Clinical Laboratory · Baltimore, MD
58149
Director Of Finance-County Of Fairfax Va
Ambulance Service Provider · Fairfax, VA
3241
Ingrid Schneider
Diagnostic Radiology · Fairfax, VA
1627
Behzad Kalaghchi
Gastroenterology · Fairfax, VA
1533
Quest Diagnostics Nichols Institute, Inc.
Clinical Laboratory · Chantilly, VA
1530
Wei Shen Griggs
Diagnostic Radiology · Fairfax, VA
1222
Jong-Ho Choi
Diagnostic Radiology · Edina, MN
1112
Luke Yao
Diagnostic Radiology · Fairfax, VA
1127
MEDICAL TRANSPORTATION SERVICES, LLC1117
INOVA HEALTH CARE SERVICES1129
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
INOVA HEALTH CARE SERVICES109279
INOVA HEALTH CARE SERVICES78180
Quest Diagnostics Incorporated Md
Clinical Laboratory · Baltimore, MD
52175
Laboratory Corporation Of America Holdings
Clinical Laboratory · Burlington, NC
4095
Lavanya Kodali
Anesthesiology · Rome, NY
3679
Bezawit Tekola
Gastroenterology · Fairfax, VA
2952
Theodore Friedman
Pathology · Fairfax, VA
2556
MEDICAL TRANSPORTATION SERVICES, LLC2244
Robert Cunnion
Cardiology · Fairfax, VA
1932
ZAMAN, SYED1841
Mahmood Abedi
Gastroenterology · Fairfax, VA
1729
Director Of Finance-County Of Fairfax Va
Ambulance Service Provider · Fairfax, VA
1722
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.