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PROVIDER PROFILE · NPI 1114022183

Terry BalagnaM.D.

PRACTICEDECATUR MEMORIAL HOSPITALSee all providers at this practice →
Emergency MedicineDecatur, ILI
CROSS-REFERENCE

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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 140135
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
390
Unique beneficiaries
—
Total services
405
Distinct HCPCS
3
Medicare payment
$49K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 2,228 Emergency Medicine providers in IL — above median (cohort median 344).
QUALITY · MIPS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
Total Rx claims
97
Beneficiaries
—
Total drug cost
$324
Distinct drugs
5
Brand share
25.8%
Top prescribed drugs
Hydrocodone/Acetaminophen25 claims
Cephalexin22 claims
Doxycycline Hyclate19 claims
Prednisone19 claims
Ondansetron Hcl12 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Terry Balagna'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). 22 inbound referrers · 76 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Jeffrey Boorstein
Diagnostic Radiology · Decatur, IL
89197
Adam Zorn
Diagnostic Radiology · Milwaukee, WI
75158
ST MARYS HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER72247
John Waters
Interventional Cardiology · Kearney, NE
60136
Tansel Turgut
Interventional Cardiology · Michigan City, IN
53108
Bruce Linder
Diagnostic Radiology · Lisle, IL
4494
DECATUR AMBULANCE SERVICE, INC.39128
Jeanne Kairouz
Cardiology · Decatur, IL
2757
James Brumit
Diagnostic Radiology · Knoxville, TN
2130
Nadal Aker
Cardiology · Decatur, IL
2046
Geronimo Garcia
Emergency Medicine · Decatur, IL
1958
Mohammad Hasnain
Nephrology · Decatur, IL
1956
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
DECATUR MEMORIAL HOSPITAL3281,049
ST MARYS HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER148383
DECATUR AMBULANCE SERVICE, INC.136297
Jonathan Locke
Diagnostic Radiology · Decatur, IL
85190
Mark Muscato
Diagnostic Radiology · Decatur, IL
84165
John Waters
Interventional Cardiology · Kearney, NE
75120
Tansel Turgut
Interventional Cardiology · Michigan City, IN
65112
Jeffrey Boorstein
Diagnostic Radiology · Decatur, IL
64124
Howard Wiarda
Interventional Radiology · South Bend, IN
5699
James Brumit
Diagnostic Radiology · Knoxville, TN
4586
Adam Zorn
Diagnostic Radiology · Milwaukee, WI
4371
Desi Dennis
Diagnostic Radiology · Goodlettsville, TN
3451
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.