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PROVIDER PROFILE · NPI 1134102627

Edward BalestrinoDO

PRACTICEPRIMARY HEALTH NETWORKSee all providers at this practice →
Family PracticePetrolia, PAI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 391670
Hospice
CCN 390168
Hospital
CCN 395410
Nursing home
REFERRAL NETWORK

Where Edward Balestrino'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). 12 inbound referrers · 18 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
BUTLER HEALTHCARE PROVIDERS147455
Courtney Fedorek
Physician Assistant · Hickory, PA
3774
PRIMARY HEALTH NETWORK3473
CLARION HOSPITAL23103
Clyde Schultheis
Diagnostic Radiology · Butler, PA
1636
SEIFERT, CAROL1529
Albert Barrett
Diagnostic Radiology · Clarion, PA
1455
Jeffrey Karls
Family Practice · Strattanville, PA
1219
Marvin Baker
Internal Medicine · Butler, PA
1223
East Brady Area Ambulance
Ambulance Service Provider · East Brady, PA
1227
Reginald Reginella
Emergency Medicine · Butler, PA
1132
Arshad Mahmood
Cardiology · Butler, PA
1115
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
PRIMARY HEALTH NETWORK391888
BUTLER HEALTHCARE PROVIDERS217733
PRIMARY HEALTH NETWORK142357
Michael Neiswonger
Nurse Practitioner · East Brady, PA
63183
ARMSTRONG COUNTY MEMORIAL HOSPITAL41128
Courtney Fedorek
Physician Assistant · Hickory, PA
3366
CLARION HOSPITAL27113
PRIMARY HEALTH NETWORK2275
Clyde Schultheis
Diagnostic Radiology · Butler, PA
1828
SUBBIAH, THEVARAYA1537
SEIFERT, CAROL1426
FLINT, ERIC1421
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
22
Unique beneficiaries
—
Total services
67
Distinct HCPCS
1
Medicare payment
$3K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 4,194 Family Practice providers in PA — bottom quintile (cohort median 645).
PRESCRIBING · PART D · 2024
Total Rx claims
1,528
Beneficiaries
—
Total drug cost
$51K
Distinct drugs
52
Brand share
15.2%
Top prescribed drugs
Levothyroxine Sodium121 claims
Lisinopril114 claims
Pantoprazole Sodium74 claims
Atorvastatin Calcium67 claims
Gabapentin66 claims
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
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$21
Payment records
1
By payment type
Food and Beverage$21
Top paying entities
Food and Beverage$21