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PROVIDER PROFILE · NPI 1194783787

James BalarbarMD

PRACTICEHARRY H JUNG III MD PASee all providers at this practice →
Emergency MedicineRound Rock, TXI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
90.5
Quality
68.6
Cost
86.3
Improvement activities
40.0
Promoting interop.
91.0
Payment adjustment
0.65%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
Total Rx claims
47
Beneficiaries
—
Total drug cost
$278
Distinct drugs
4
Brand share
53.2%
Top prescribed drugs
Ondansetron13 claims
Hydrocodone/Acetaminophen12 claims
Doxycycline Hyclate11 claims
Ibuprofen11 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
108
Unique beneficiaries
—
Total services
111
Distinct HCPCS
4
Medicare payment
$8K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 3,447 Emergency Medicine providers in TX — bottom quintile (cohort median 308).
REFERRAL NETWORK

Where James Balarbar'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). 13 inbound referrers · 96 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
MICHEL, ANDREA67118
Clinical Pathology Laboratories, Inc.
Clinical Laboratory · Austin, TX
62136
City Of Austin
Ambulance Service Provider · Austin, TX
3685
Susan Sia
Nurse Practitioner · Weslaco, TX
2125
Gregory Connor
Diagnostic Radiology · Austin, TX
1725
Stuart Damore
Cardiology · Cedar Park, TX
1441
Jeffrey Sheneman
Diagnostic Radiology · Austin, TX
1425
Jody Hooten
Diagnostic Radiology · Austin, TX
1417
Williamson County
Ambulance Service Provider · Georgetown, TX
1331
Jose Mejia
Cardiology · West Lake Hills, TX
1227
Robert Wozniak
Interventional Cardiology · Austin, TX
1117
Catherine Young
Diagnostic Radiology · Round Rock, TX
1114
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
ST DAVIDS HEALTHCARE PARTNERSHIP LP LLP461958
City Of Austin
Ambulance Service Provider · Austin, TX
145305
Jeffrey Sheneman
Diagnostic Radiology · Austin, TX
94212
Clinical Pathology Laboratories, Inc.
Clinical Laboratory · Austin, TX
68142
MICHEL, ANDREA58135
American Medical Response Of Texas Inc
Ambulance Service Provider · Austin, TX
4777
Sandeep Shah
Diagnostic Radiology · Austin, TX
4369
Paolo Venegoni
Interventional Cardiology · Austin, TX
3988
HEMPHILL, ROSS3887
Michael Aronoff
Diagnostic Radiology · Austin, TX
3857
Farhana Bashar
Internal Medicine · Austin, TX
3685
Leonila Saldana
Internal Medicine · Austin, TX
35101
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.