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PROVIDER PROFILE · NPI 1083761183

John BaldingerM.D.

PRACTICEJAMES W MATTERN OD, PLLCSee all providers at this practice →
OphthalmologyFairfax, VAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
405
Unique beneficiaries
—
Total services
581
Distinct HCPCS
5
Medicare payment
$171K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 445 Ophthalmology providers in VA — bottom quintile (cohort median 2,782).
REFERRAL NETWORK

Where John Baldinger'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 · 22 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Fairfax Surgical Center, L.P.
Ambulatory Surgical Center · Fairfax, VA
207232
James Mattern
Optometry · Fairfax, VA
144209
Quest Diagnostics Incorporated Md
Clinical Laboratory · Baltimore, MD
105170
MCCONVILLE, BARRY5573
Lindsey Verest
Certified Registered Nurse Anesthetist (CRNA) · Leesburg, VA
4754
Gloria Black
Certified Registered Nurse Anesthetist (CRNA) · Fairfax, VA
4363
Sunrise Medical Laboratories, Inc.
Clinical Laboratory · Hicksville, NY
3855
PILCHER, ANNE2424
JEON, SANG1929
SOLSTAS LAB PARTNERS GROUP LLC1437
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Fairfax Surgical Center, L.P.
Ambulatory Surgical Center · Fairfax, VA
395932
Andrew Kim
Anesthesiology · Alexandria, VA
225413
HANES, CHAD160268
James Mattern
Optometry · Fairfax, VA
153269
EURE, SHERRI126261
James Powers
Optometry · Fairfax, VA
101152
Lindsey Verest
Certified Registered Nurse Anesthetist (CRNA) · Leesburg, VA
93134
PILCHER, ANNE90151
HUNTER, EDITH73112
KIM, CHUL5072
Quest Diagnostics Incorporated Md
Clinical Laboratory · Baltimore, MD
4379
ZUROWSKI, ROBERT3556
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.
PRESCRIBING · PART D · 2024
Total Rx claims
23
Beneficiaries
—
Total drug cost
$527
Distinct drugs
1
Brand share
0.0%
Top prescribed drugs
Prednisolone Acetate23 claims
QUALITY · MIPS · 2024
Final MIPS score
90.5
Quality
92.9
Cost
78.0
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.65%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$162
Payment records
3
By payment type
Food and Beverage$162