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PROVIDER PROFILE · NPI 1275572372

Douglas BallesterosMD

PRACTICEJJ&R EMERGENCY MEDICAL GROUP OF CALIFORNIA, INC.See all providers at this practice →
Emergency MedicineNational City, CAI
CROSS-REFERENCE

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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 050025
Hospital
CCN 050077
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
551
Unique beneficiaries
—
Total services
565
Distinct HCPCS
4
Medicare payment
$52K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 5,287 Emergency Medicine providers in CA — above median (cohort median 355).
PRESCRIBING · PART D · 2024
Total Rx claims
82
Beneficiaries
—
Total drug cost
$377
Distinct drugs
5
Brand share
35.4%
Top prescribed drugs
Cephalexin30 claims
Ondansetron17 claims
Hydrocodone/Acetaminophen12 claims
Prednisone12 claims
Doxycycline Hyclate11 claims
QUALITY · MIPS · 2024
Final MIPS score
90.8
Quality
84.1
Cost
73.9
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.66%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Douglas Ballesteros'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). 29 inbound referrers · 76 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
American Medical Response Ambulance Service, Inc.
Ambulance Service Provider · San Diego, CA
119295
John Holden
Diagnostic Radiology · Pasadena, CA
99226
PRIME HEALTHCARE PARADISE VALLEY LLC80199
Unilab Corporation
Clinical Laboratory · West Hills, CA
47121
REGENTS OF THE UNIVERSITY OF CALIFORNIA35111
SHARP CHULA VISTA MEDICAL CENTER2867
Tagumpay Sacamay
Nephrology · National City, CA
2497
SAN DIEGO MEDICAL SERVICES ENTERPRISE, LLC2465
Troy Niguidula
Internal Medicine · National City, CA
2258
Ross Christensen
Interventional Radiology · La Jolla, CA
2247
Samuel Kugel
Psychiatry · National City, CA
2184
Trevor Nelson
Interventional Radiology · La Jolla, CA
2036
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
SCRIPPS HEALTH286774
PRIME HEALTHCARE PARADISE VALLEY LLC257627
Benjamin Orejudos
Diagnostic Radiology · National City, CA
86178
John Holden
Diagnostic Radiology · Pasadena, CA
65181
American Medical Response Ambulance Service, Inc.
Ambulance Service Provider · San Diego, CA
64132
AMERICAN MEDICAL RESPONSE OF SAN DIEGO, INC.61173
Advantage Ambulance Inc
Ambulance Service Provider · National City, CA
60109
Harold Pimenta
Interventional Cardiology · La Jolla, CA
51131
SAN DIEGO MEDICAL SERVICES ENTERPRISE, LLC47115
Trevor Nelson
Interventional Radiology · La Jolla, CA
45118
Jimi Benson
Internal Medicine · El Cajon, CA
43131
Unilab Corporation
Clinical Laboratory · West Hills, CA
42109
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.