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PROVIDER PROFILE · NPI 1225035959

David BalabanMD

GastroenterologyCharlottesville, VAI
CROSS-REFERENCE

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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 490009
Hospital
CCN 490077
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
1,166
Beneficiaries
—
Total drug cost
$654K
Distinct drugs
27
Brand share
42.0%
Top prescribed drugs
Pantoprazole Sodium173 claims
Omeprazole129 claims
Mesalamine95 claims
Famotidine78 claims
Sodium Chloride/Nahco3/Kcl/Peg76 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,095
Unique beneficiaries
—
Total services
1,179
Distinct HCPCS
12
Medicare payment
$187K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 375 Gastroenterology providers in VA — above median (cohort median 781).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$101
Payment records
4
By payment type
Food and Beverage$101
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
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
PhysicianPatientsVisits
MARTHA JEFFERSON HOSPITAL325970
Jay Fertile
Diagnostic Radiology · Charlottesville, VA
5090
Christopher Cook
Diagnostic Radiology · Charlottesville, VA
4776
Diego Gomez
Gastroenterology · Charlottesville, VA
4677
MACMILLAN, RICHARD3257
OBLINGER, MICHAEL3057
Donna Smith
Nurse Practitioner · Charlottesville, VA
2849
Sorin Laza
Hospitalist · Charlottesville, VA
2567
Mark Mandichak
Internal Medicine · Charlottesville, VA
2346
HUTCHESON, GRACE2343
Anna Smith
Allergy/ Immunology · Charlottesville, VA
2036
NPI 11543936762045
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
MARTHA JEFFERSON HOSPITAL5271,813
MACMILLAN, RICHARD132290
RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA113297
Laura Spinelli
Pathology · Charlottesville, VA
107209
DUDLEY, THOMAS87160
Laboratory Corporation Of America Holdings
Clinical Laboratory · Burlington, NC
5496
Sean Lyman
Diagnostic Radiology · Charlottesville, VA
4794
Christopher Cook
Diagnostic Radiology · Charlottesville, VA
4788
Clinton Pease
Diagnostic Radiology · Charlottesville, VA
47111
V. Peyton
Diagnostic Radiology · Charlottesville, VA
4596
Pradeep Rajagopalan
Diagnostic Radiology · Charlottesville, VA
45106
Diego Gomez
Gastroenterology · Charlottesville, VA
4479
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.