PROVIDER PROFILE · NPI 1023379153

Sandra BalmoriaMD

Family PracticeNew Church, VAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

449

Unique beneficiaries

—

Total services

646

Distinct HCPCS

Medicare payment

$38K

Peer benchmark

Total Medicare services vs. 2,194 Family Practice providers in VA — below median (cohort median 866).

PRESCRIBING · PART D · 2024

Total Rx claims

5,023

Beneficiaries

—

Total drug cost

$508K

Distinct drugs

113

Brand share

22.7%

Top prescribed drugs

Atorvastatin Calcium315 claims

Amlodipine Besylate213 claims

Gabapentin178 claims

Rosuvastatin Calcium167 claims

Pantoprazole Sodium163 claims

QUALITY · MIPS · 2024

Final MIPS score

85.7

Quality

74.5

Cost

78.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.45%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 497289

Home health agency

CCN 497538

Home health agency

CCN 490098

Hospital

REFERRAL NETWORK

Where Sandra Balmoria'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). 0 inbound referrers · 6 outbound destinations.

Receives referrals from

Inbound — who sends patients here

No inbound pairs above the suppression threshold.

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
INOVA HEALTH CARE SERVICES	30	51
Laboratory Corporation Of America Holdings Clinical Laboratory · Burlington, NC	26	51
Director Of Finance-County Of Fairfax Va Ambulance Service Provider · Fairfax, VA	12	19
Mark Tanenbaum Cardiology · Fairfax, VA	11	16
MEDICAL TRANSPORTATION SERVICES, LLC	11	22
Terence Mccormally Family Practice · Fairfax, VA	11	35

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history