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PROVIDER PROFILE · NPI 1265640411

Andrew BalbaughM.D.

PRACTICEKENTUCKY MSO LLCSee all providers at this practice →
Internal MedicineGeorgetown, KYI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 180101
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
82
Unique beneficiaries
—
Total services
128
Distinct HCPCS
3
Medicare payment
$8K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,039 Internal Medicine providers in KY — bottom quintile (cohort median 766).
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
PhysicianPatientsVisits
GEORGETOWN COMMUNITY HOSPITAL LLC39207
Erin Johnson
Internal Medicine · Lawrenceburg, KY
1564
Joseph Thomas
Cardiology · Georgetown, KY
1447
Joel Knight
Internal Medicine · Georgetown, KY
1456
HARRISON, SCOTT1340
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
GEORGETOWN COMMUNITY HOSPITAL LLC56293
Laboratory Corporation Of America Holdings
Clinical Laboratory · Dublin, OH
47126
Rhonda Grissom
Diagnostic Radiology · Lexington, KY
2591
Richard Scalf
Diagnostic Radiology · Lexington, KY
2289
Joseph Thomas
Cardiology · Georgetown, KY
1459
Erin Johnson
Internal Medicine · Lawrenceburg, KY
1348
Joel Knight
Internal Medicine · Georgetown, KY
1254
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.
QUALITY · MIPS · 2024
No data available for this provider in 2024.
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
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$2K
Payment records
95
By payment type
Food and Beverage$2K