What is Andrew Balbaugh's specialty?

Andrew Balbaugh (NPI 1265640411) is a Medicare-billing provider whose primary specialty is Internal Medicine in Georgetown, KY.

Where does Andrew Balbaugh practice?

Andrew Balbaugh practices in Georgetown, KY, based on the location reported in the CMS Medicare provider datasets for NPI 1265640411.

How much does Medicare pay Andrew Balbaugh?

Andrew Balbaugh (NPI 1265640411) received approximately $10K in total Medicare Part B payments, serving 55 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1265640411

Andrew BalbaughM.D.

PRACTICEKENTUCKY MSO LLCSee all providers at this practice →

Internal MedicineGeorgetown, KYI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

Unique beneficiaries

—

Total services

128

Distinct HCPCS

Medicare payment

$8K

Peer benchmark

Total Medicare services vs. 1,039 Internal Medicine providers in KY — bottom quintile (cohort median 766).

PRESCRIBING · PART D · 2024

Total Rx claims

4,351

Beneficiaries

—

Total drug cost

$334K

Distinct drugs

100

Brand share

24.8%

Top prescribed drugs

Albuterol Sulfate167 claims

Lisinopril164 claims

Hydrocodone/Acetaminophen156 claims

Atorvastatin Calcium145 claims

Metformin Hcl136 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025

Total received

$2K

Payment records

By payment type

Food and Beverage$2K

Top paying entities

Food and Beverage$2K

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 180101

Hospital

REFERRAL NETWORK

Where Andrew Balbaugh'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). 5 inbound referrers · 7 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
GEORGETOWN COMMUNITY HOSPITAL LLC	39	207
Erin Johnson Internal Medicine · Lawrenceburg, KY	15	64
Joseph Thomas Cardiology · Georgetown, KY	14	47
Joel Knight Internal Medicine · Georgetown, KY	14	56
HARRISON, SCOTT	13	40

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
GEORGETOWN COMMUNITY HOSPITAL LLC	56	293
Laboratory Corporation Of America Holdings Clinical Laboratory · Dublin, OH	47	126
Rhonda Grissom Diagnostic Radiology · Lexington, KY	25	91
Richard Scalf Diagnostic Radiology · Lexington, KY	22	89
Joseph Thomas Cardiology · Georgetown, KY	14	59
Erin Johnson Internal Medicine · Lawrenceburg, KY	13	48
Joel Knight Internal Medicine · Georgetown, KY	12	54

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