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PROVIDER PROFILE · NPI 1427020163

James BalvichMD

PRACTICEHAMPTON REGIONAL MEDICAL CENTERSee all providers at this practice →
Emergency MedicineKernersville, NCI
CROSS-REFERENCE

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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
493
Unique beneficiaries
—
Total services
553
Distinct HCPCS
5
Medicare payment
$43K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,499 Emergency Medicine providers in NC — above median (cohort median 350).
PRESCRIBING · PART D · 2024
Total Rx claims
383
Beneficiaries
—
Total drug cost
$2K
Distinct drugs
13
Brand share
42.8%
Top prescribed drugs
Cephalexin74 claims
Hydrocodone/Acetaminophen60 claims
Ondansetron55 claims
Doxycycline Hyclate37 claims
Prednisone37 claims
QUALITY · MIPS · 2024
Final MIPS score
92.0
Quality
82.5
Cost
85.3
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.72%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where James Balvich'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). 49 inbound referrers · 117 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
DLP RUTHERFORD REGIONAL HEALTH SYSTEM, LLC3901,057
CALDWELL MEMORIAL HOSPITAL, INC.3831,303
County Of Rutherford Finance Office
Ambulance Service Provider · Spindale, NC
151335
Luther Person
Diagnostic Radiology · Rutherfordton, NC
141299
Gary Schafer
Pulmonary Disease · Forest City, NC
125246
Claude Whitworth
Internal Medicine · Forest City, NC
67167
LOWRY, DAVID58153
Eric Johnson
Diagnostic Radiology · Hickory, NC
4784
Charles Scheil
Diagnostic Radiology · Hickory, NC
4480
PRISMA HEALTH TUOMEY3882
Marcel Akuneme
Hospitalist · Shelby, NC
3751
John Battiston
Diagnostic Radiology · Hickory, NC
3483
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
CALDWELL MEMORIAL HOSPITAL, INC.217788
County Of Caldwell
Ambulance Service Provider · Lenoir, NC
153406
DLP RUTHERFORD REGIONAL HEALTH SYSTEM, LLC151468
MOORING, FRANKLIN147341
GRISHAW, EDWARD113280
Seema Daigle
Internal Medicine · Forest City, NC
83164
Michael Scruggs
Diagnostic Radiology · Rutherfordton, NC
83169
LOWRY, DAVID77254
Jason Soto
Internal Medicine · Rutherfordton, NC
76114
Eric Meredith
Diagnostic Radiology · Hickory, NC
69107
County Of Rutherford Finance Office
Ambulance Service Provider · Spindale, NC
63183
Stephen Farris
Diagnostic Radiology · Hickory, NC
5793
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.