What is Paul Balthrop's specialty?

Paul Balthrop (NPI 1104044700) is a Medicare-billing provider whose primary specialty is Orthopedic Surgery in Savannah, GA.

Where does Paul Balthrop practice?

Paul Balthrop practices in Savannah, GA, based on the location reported in the CMS Medicare provider datasets for NPI 1104044700.

How much does Medicare pay Paul Balthrop?

Paul Balthrop (NPI 1104044700) received approximately $65K in total Medicare Part B payments, serving 121 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1104044700

Paul BalthropM.D.

Orthopedic SurgerySavannah, GAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

138

Unique beneficiaries

—

Total services

180

Distinct HCPCS

Medicare payment

$11K

Peer benchmark

Total Medicare services vs. 640 Orthopedic Surgery providers in GA — bottom quintile (cohort median 2,020).

PRESCRIBING · PART D · 2024

Total Rx claims

179

Beneficiaries

—

Total drug cost

$12K

Distinct drugs

Brand share

24.0%

Top prescribed drugs

Celecoxib38 claims

Meloxicam26 claims

Gabapentin24 claims

Oxycodone Hcl23 claims

Apixaban23 claims

QUALITY · MIPS · 2024

Final MIPS score

100.0

Quality

0.0

Cost

0.0

Improvement activities

40.0

Promoting interop.

99.0

Payment adjustment

1.05%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$731

Payment records

By payment type

Food and Beverage$731

Top paying entities

Food and Beverage$731

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 110036

Hospital

CCN 420080

Hospital

CCN 420101

Hospital

REFERRAL NETWORK

Where Paul Balthrop'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). 8 inbound referrers · 20 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Andreas Schilling Diagnostic Radiology · Savannah, GA	20	110
Marilyn Palcic Physician Assistant · Statesboro, GA	16	26
Peter Britt Diagnostic Radiology · Savannah, GA	14	54
Peter Romano Diagnostic Radiology · Savannah, GA	14	55
Christopher Hulsey Diagnostic Radiology · Savannah, GA	13	76
William Greene Diagnostic Radiology · Savannah, GA	12	49
Steven Novack Physical Medicine and Rehabilitation · Savannah, GA	12	136
Lloyd Goodman Internal Medicine · Savannah, GA	11	24

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER INC.	54	213
Deborah Conway Diagnostic Radiology · Edina, MN	30	102
Robert Anton Diagnostic Radiology · Naples, FL	25	71
Peter Romano Diagnostic Radiology · Savannah, GA	21	73
Mathew Dixon Diagnostic Radiology · Savannah, GA	20	61
Marilyn Palcic Physician Assistant · Statesboro, GA	20	34
Christopher Hulsey Diagnostic Radiology · Savannah, GA	19	66
William Greene Diagnostic Radiology · Savannah, GA	18	74
Mickey Ott Critical Care (Intensivists) · Savannah, GA	18	39
Lloyd Goodman Internal Medicine · Savannah, GA	18	51
Steven Novack Physical Medicine and Rehabilitation · Savannah, GA	16	210
Metro Atlanta Ambulance Services Inc Ambulance Service Provider · Marietta, GA	14	26

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