What is Sandra Balmoria's specialty?

Sandra Balmoria (NPI 1023379153) is a Medicare-billing provider whose primary specialty is Family Practice in New Church, VA.

Where does Sandra Balmoria practice?

Sandra Balmoria practices in New Church, VA, based on the location reported in the CMS Medicare provider datasets for NPI 1023379153.

How much does Medicare pay Sandra Balmoria?

Sandra Balmoria (NPI 1023379153) received approximately $46K in total Medicare Part B payments, serving 213 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

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

Healthparse Signals

Monitor this provider for changes — dated NPI change events