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PROVIDER PROFILE · NPI 1255357067

Pablo Balboa-MarciackMD

Family PracticeCalhoun, GAI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 117028
Home health agency
CCN 110023
Hospital
REFERRAL NETWORK

Where Pablo Balboa-Marciack'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). 24 inbound referrers · 35 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Tara Sane
Nurse Practitioner · Calhoun, GA
73225
Teresa Williams
Nurse Practitioner · Calhoun, GA
42109
Hans Chang
Diagnostic Radiology · Cartersville, GA
37100
NPI 12452854443377
Daniel Ahn
Ophthalmology · Calhoun, GA
2996
Kirby Peden
Emergency Medicine · Rome, GA
2666
Adventist Health System Georgia Inc
Ambulance Service Provider · Calhoun, GA
2474
Courtney Perez
Diagnostic Radiology · Cartersville, GA
2450
Jacquelin Miller
Emergency Medicine · Calhoun, GA
1964
Millennium Health, Llc
Clinical Laboratory · San Diego, CA
1784
FLOYD HEALTHCARE MANAGEMENT INC1628
FONG, PETER16191
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
ADVENTIST HEALTH SYSTEM GEORGIA, INC.3441,405
Tara Sane
Nurse Practitioner · Calhoun, GA
95249
Teresa Williams
Nurse Practitioner · Calhoun, GA
77209
Kathryn Schnell
Nurse Practitioner · Hendersonville, NC
72121
Hans Chang
Diagnostic Radiology · Cartersville, GA
49118
Mark Rheaume
Diagnostic Radiology · Cartersville, GA
47135
Courtney Perez
Diagnostic Radiology · Cartersville, GA
3769
Samir Chande
Diagnostic Radiology · Cartersville, GA
3574
Daniel Ahn
Ophthalmology · Calhoun, GA
34109
NPI 12452854443277
HAMILTON MEDICAL CENTER, INC.30102
Vincent Pearson
Nuclear Medicine · Calhoun, GA
27167
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
674
Unique beneficiaries
—
Total services
1,565
Distinct HCPCS
10
Medicare payment
$40K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 2,265 Family Practice providers in GA — top quintile (cohort median 688).
PRESCRIBING · PART D · 2024
Total Rx claims
6,326
Beneficiaries
—
Total drug cost
$481K
Distinct drugs
116
Brand share
22.6%
Top prescribed drugs
Albuterol Sulfate313 claims
Amlodipine Besylate261 claims
Atorvastatin Calcium254 claims
Metformin Hcl222 claims
Lisinopril221 claims
QUALITY · MIPS · 2024
Final MIPS score
83.8
Quality
68.2
Cost
74.7
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.37%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$264
Payment records
14
By payment type
Food and Beverage$264