What is David Balaban's specialty?

David Balaban (NPI 1225035959) is a Medicare-billing provider whose primary specialty is Gastroenterology in Charlottesville, VA.

Where does David Balaban practice?

David Balaban practices in Charlottesville, VA, based on the location reported in the CMS Medicare provider datasets for NPI 1225035959.

How much does Medicare pay David Balaban?

David Balaban (NPI 1225035959) received approximately $199K in total Medicare Part B payments, serving 886 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1225035959

David BalabanMD

GastroenterologyCharlottesville, VAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,095

Unique beneficiaries

—

Total services

1,179

Distinct HCPCS

Medicare payment

$187K

Peer benchmark

Total Medicare services vs. 375 Gastroenterology providers in VA — above median (cohort median 781).

PRESCRIBING · PART D · 2024

Total Rx claims

1,166

Beneficiaries

—

Total drug cost

$654K

Distinct drugs

Brand share

42.0%

Top prescribed drugs

Pantoprazole Sodium173 claims

Omeprazole129 claims

Mesalamine95 claims

Famotidine78 claims

Sodium Chloride/Nahco3/Kcl/Peg76 claims

QUALITY · MIPS · 2024

Final MIPS score

80.5

Quality

56.1

Cost

80.6

Improvement activities

40.0

Promoting interop.

98.0

Payment adjustment

0.23%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$101

Payment records

By payment type

Food and Beverage$101

Top paying entities

Food and Beverage$101

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 490009

Hospital

CCN 490077

Hospital

REFERRAL NETWORK

Where David Balaban'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). 27 inbound referrers · 45 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
MARTHA JEFFERSON HOSPITAL	325	970
Jay Fertile Diagnostic Radiology · Charlottesville, VA	50	90
Christopher Cook Diagnostic Radiology · Charlottesville, VA	47	76
Diego Gomez Gastroenterology · Charlottesville, VA	46	77
MACMILLAN, RICHARD	32	57
OBLINGER, MICHAEL	30	57
Donna Smith Nurse Practitioner · Charlottesville, VA	28	49
Sorin Laza Hospitalist · Charlottesville, VA	25	67
Mark Mandichak Internal Medicine · Charlottesville, VA	23	46
HUTCHESON, GRACE	23	43
Anna Smith Allergy/ Immunology · Charlottesville, VA	20	36
NPI 1154393676	20	45

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
MARTHA JEFFERSON HOSPITAL	527	1,813
MACMILLAN, RICHARD	132	290
RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA	113	297
Laura Spinelli Pathology · Charlottesville, VA	107	209
DUDLEY, THOMAS	87	160
Laboratory Corporation Of America Holdings Clinical Laboratory · Burlington, NC	54	96
Sean Lyman Diagnostic Radiology · Charlottesville, VA	47	94
Christopher Cook Diagnostic Radiology · Charlottesville, VA	47	88
Clinton Pease Diagnostic Radiology · Charlottesville, VA	47	111
V. Peyton Diagnostic Radiology · Charlottesville, VA	45	96
Pradeep Rajagopalan Diagnostic Radiology · Charlottesville, VA	45	106
Diego Gomez Gastroenterology · Charlottesville, VA	44	79

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events