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PROVIDER PROFILE · NPI 1184824351

Rick BalestraM.D.

PRACTICETHE OREGON CLINIC PCSee all providers at this practice →
Pulmonary DiseasePortland, ORI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 380038
Hospital
CCN 380061
Hospital
CCN 380082
Hospital
CCN 381303
Hospital
CCN 381318
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
287
Unique beneficiaries
—
Total services
366
Distinct HCPCS
15
Medicare payment
$32K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 126 Pulmonary Disease providers in OR — top quintile (cohort median 557).
PRESCRIBING · PART D · 2024
Total Rx claims
443
Beneficiaries
—
Total drug cost
$238K
Distinct drugs
12
Brand share
77.7%
Top prescribed drugs
Fluticasone/Umeclidin/Vilanter95 claims
Albuterol Sulfate77 claims
Fluticasone Propion/Salmeterol48 claims
Azithromycin30 claims
Prednisone28 claims
QUALITY · MIPS · 2024
Final MIPS score
95.5
Quality
96.2
Cost
84.5
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.86%
Group
REFERRAL NETWORK

Where Rick Balestra'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). 8 inbound referrers · 29 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
SETON MEDICAL CENTER76219
Christopher Yoo
Diagnostic Radiology · Burlingame, CA
43202
Baroon Rai
Critical Care (Intensivists) · Daly City, CA
2589
James Feeney
Cardiology · Provo, UT
20120
Daniel Oneill
Cardiology · San Francisco, CA
1876
David Vaughan
Cardiology · Daly City, CA
1857
NPI 12150421631553
PARK, STEPHEN1461
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Carl Kim
Interventional Radiology · Round Rock, TX
49343
Vishal Kumar
Interventional Radiology · San Francisco, CA
43315
Christopher Yoo
Diagnostic Radiology · Burlingame, CA
42232
Stephen Abedon
Diagnostic Radiology · Daly City, CA
31146
SETON MEDICAL CENTER2658
Felix Millhouse
Interventional Cardiology · Daly City, CA
2587
James Feeney
Cardiology · Provo, UT
23146
Baroon Rai
Critical Care (Intensivists) · Daly City, CA
21106
Falck Northern California Corp.
Ambulance Service Provider · Hayward, CA
2157
David Vaughan
Cardiology · Daly City, CA
2151
American Medical Response West
Ambulance Service Provider · Burlingame, CA
2034
Thomas Feeney
Cardiology · Daly City, CA
2077
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.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$649
Payment records
2
By payment type
Travel and Lodging$625
Food and Beverage$24