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PROVIDER PROFILE · NPI 1104912476

John BalmerD.O.

PRACTICEJOHN E BALMER JR. DOSee all providers at this practice →
Family PracticeSpartansburg, PAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
93.9
Quality
85.0
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.80%
APM Entity
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (7)

CCN 397655
Home health agency
CCN 390009
Hospital
CCN 390063
Hospital
CCN 390198
Hospital
CCN 391308
Hospital
CCN 391314
Hospital
CCN 39Z308
Nursing home
PRESCRIBING · PART D · 2024
Total Rx claims
8,945
Beneficiaries
—
Total drug cost
$1.5M
Distinct drugs
158
Brand share
29.5%
Top prescribed drugs
Oxycodone Hcl406 claims
Pantoprazole Sodium268 claims
Hydrocodone/Acetaminophen259 claims
Gabapentin254 claims
Simvastatin233 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
217
Unique beneficiaries
—
Total services
349
Distinct HCPCS
6
Medicare payment
$22K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 4,194 Family Practice providers in PA — below median (cohort median 645).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$2K
Payment records
103
By payment type
Food and Beverage$2K
REFERRAL NETWORK

Where John Balmer'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). 23 inbound referrers · 58 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
MCGEEHAN, PAUL1531,143
Associated Clinical Laboratories
Clinical Laboratory · Erie, PA
148702
JOHN E BALMER JR., DO141597
AMERITOX, LLC63303
PHILLIPS, JONATHAN44384
CORRY AMBULANCE SERVICE INC.42280
UPMC HAMOT38183
COOPERSTEIN, LAWRENCE35121
NPI 143710659829172
Emergycare, Inc
Ambulance Service Provider · Erie, PA
27154
Vincent Proy
Family Practice · Corry, PA
21239
HCF OF CORRY, INC.20109
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
JOHN E BALMER JR. DO3753,999
Associated Clinical Laboratories
Clinical Laboratory · Erie, PA
2211,327
CORRY MEMORIAL HOSPITAL ASSOCIATION2021,292
MCGEEHAN, PAUL1561,024
TITUSVILLE AREA HOSPITAL86362
AMERITOX, LLC80527
JOHN E BALMER JR., DO57211
SAINT VINCENT HEALTH CENTER53252
Bernard Proy
Family Practice · Corry, PA
53904
ST VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC51631
CORRY AMBULANCE SERVICE INC.49374
MEADVILLE MEDICAL CENTER45351
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.