What is Brett Baloun's specialty?

Brett Baloun (NPI 1245448869) is a Medicare-billing provider whose primary specialty is Gastroenterology in Sioux Falls, SD.

Where does Brett Baloun practice?

Brett Baloun practices in Sioux Falls, SD, based on the location reported in the CMS Medicare provider datasets for NPI 1245448869.

How much does Medicare pay Brett Baloun?

Brett Baloun (NPI 1245448869) received approximately $68K in total Medicare Part B payments, serving 391 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1245448869

Brett BalounMD

GastroenterologySioux Falls, SDI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

539

Unique beneficiaries

—

Total services

583

Distinct HCPCS

Medicare payment

$64K

Peer benchmark

Total Medicare services vs. 30 Gastroenterology providers in SD — above median (cohort median 615).

PRESCRIBING · PART D · 2024

Total Rx claims

1,655

Beneficiaries

—

Total drug cost

$296K

Distinct drugs

Brand share

31.8%

Top prescribed drugs

Ondansetron Hcl350 claims

Sodium Chloride/Nahco3/Kcl/Peg341 claims

Omeprazole158 claims

Pantoprazole Sodium122 claims

Rabeprazole Sodium122 claims

QUALITY · MIPS · 2024

Final MIPS score

84.8

Quality

78.8

Cost

70.5

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.41%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$53

Payment records

By payment type

Food and Beverage$53

Top paying entities

Food and Beverage$53

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 430027

Hospital

CCN 431333

Hospital

REFERRAL NETWORK

Where Brett Baloun'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 · 25 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Ryan Askeland Pathology · Sioux Falls, SD	27	60
Charles Flohr Diagnostic Radiology · Sioux Falls, SD	26	53
Bryan Barness Diagnostic Radiology · Sioux Falls, SD	24	74
Robert Lunn Anesthesiology · Sioux Falls, SD	14	32
Douglas Lynch Pathology · Sioux Falls, SD	12	25
David Swanson Nuclear Medicine · Sioux Falls, SD	12	22
Krishna Rayapudi Gastroenterology · Hilliard, OH	12	50
David Dingsor Anesthesiology · Sioux Falls, SD	11	26

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
SANFORD MEDICAL CENTER	333	1,512
Kimberlee Bohy Pathology · Sioux Falls, SD	38	85
ANDERSON, KEITH	34	68
Desirae Muirhead Pathology · Sioux Falls, SD	33	73
Charles Flohr Diagnostic Radiology · Sioux Falls, SD	23	59
Christopher Fischer Diagnostic Radiology · Sioux Falls, SD	22	50
Craig Donelan Anesthesiology · Sioux Falls, SD	22	42
AVERA MCKENNAN	20	69
GEIS, MICHAEL	19	40
Bryan Barness Diagnostic Radiology · Sioux Falls, SD	18	39
GRADY, ROBERT	16	33
Mark Johnson Pathology · Sioux Falls, SD	16	34

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