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PROVIDER PROFILE · NPI 1134109366

Grace BalderasA.P.R.N. B.C.

Certified Clinical Nurse SpecialistSan Antonio, TXI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$170
Payment records
7
By payment type
Food and Beverage$170
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 450388
Hospital
QUALITY · MIPS · 2024
Final MIPS score
84.5
Quality
71.9
Cost
71.9
Improvement activities
40.0
Promoting interop.
99.0
Payment adjustment
0.40%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
1,250
Beneficiaries
—
Total drug cost
$75K
Distinct drugs
26
Brand share
14.6%
Top prescribed drugs
Atorvastatin Calcium156 claims
Metoprolol Succinate142 claims
Amlodipine Besylate128 claims
Losartan Potassium81 claims
Carvedilol75 claims
REFERRAL NETWORK

Where Grace Balderas'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). 2 inbound referrers · 6 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., L.L.P.2947
Jose Perez
Interventional Cardiology · San Antonio, TX
2164
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., L.L.P.4185
Jose Perez
Interventional Cardiology · San Antonio, TX
40165
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Irving, TX
1629
Charles Machell
Clinical Cardiac Electrophysiology · San Antonio, TX
1346
Laboratory Corporation Of America
Clinical Laboratory · Houston, TX
1337
Javier Roman-Gonzalez
Internal Medicine · San Antonio, TX
1238
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
235
Unique beneficiaries
—
Total services
244
Distinct HCPCS
4
Medicare payment
$14K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 173 Certified Clinical Nurse Specialist providers in TX — below median (cohort median 288).