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PROVIDER PROFILE · NPI 1104197839

Swomya BalMD

NephrologyAllentown, PAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
97.1
Quality
82.3
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.93%
APM Entity
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (6)

CCN 392619
Dialysis facility
CCN 310060
Hospital
CCN 390049
Hospital
CCN 390057
Hospital
CCN 390162
Hospital
CCN 390326
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
897
Beneficiaries
—
Total drug cost
$91K
Distinct drugs
22
Brand share
16.8%
Top prescribed drugs
Torsemide114 claims
Amlodipine Besylate92 claims
Calcitriol85 claims
Lisinopril82 claims
Carvedilol72 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
944
Unique beneficiaries
—
Total services
1,702
Distinct HCPCS
14
Medicare payment
$123K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 452 Nephrology providers in PA — top quintile (cohort median 1,017).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$3
Payment records
1
By payment type
Education$3
REFERRAL NETWORK

Where Swomya Bal'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). 114 inbound referrers · 227 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
ST LUKES HOSPITAL196806
Joseph Jacobs
Nephrology · Bethlehem, PA
169365
ST LUKES HOSPITAL-ANDERSON CAMPUS164436
Jake Marais
Cardiology · Bethlehem, PA
80147
Sobhan Kodali
Cardiology · Bethlehem, PA
79185
PURSELL, ROBERT72135
Joseph Bucich
Diagnostic Radiology · Phillipsburg, NJ
68151
COHEN, KENNETH68157
ETOWAH DIALYSIS LLC67407
Ivan Fras
Diagnostic Radiology · Bethlehem, PA
6397
Satyam Arora
Nephrology · Allentown, PA
60167
Guillermo Carnero Salazar
Nephrology · Allentown, PA
60150
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
ST LUKES HOSPITAL161685
Jose Avila
Nephrology · Allentown, PA
147472
ST LUKES HOSPITAL-ANDERSON CAMPUS111390
ST. LUKE'S WARREN HOSPITAL, INC.94364
NORTHAMPTON HOSPITAL COMPANY LLC93286
PURSELL, ROBERT88236
Adam Dratch
Nephrology · Bethlehem, PA
84147
Richard Snyder
Nephrology · Bethlehem, PA
80212
Joseph Jacobs
Nephrology · Bethlehem, PA
75187
Michael Dunn
Nephrology · Bethlehem, PA
75171
ETOWAH DIALYSIS LLC74698
St Lukes Emergency & Transport Services, Inc
Ambulance Service Provider · Quakertown, PA
72122
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.