PROVIDER PROFILE · NPI 1497184279

Katie BalderasPA-C

Physician AssistantWauwatosa, WII

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

Unique beneficiaries

—

Total services

Distinct HCPCS

Medicare payment

$2K

Peer benchmark

Total Medicare services vs. 2,745 Physician Assistant providers in WI — bottom quintile (cohort median 189).

PRESCRIBING · PART D · 2024

Total Rx claims

Beneficiaries

—

Total drug cost

$33K

Distinct drugs

Brand share

32.9%

Top prescribed drugs

Famotidine20 claims

Pantoprazole Sodium18 claims

Lipase/Protease/Amylase13 claims

Cholestyramine (With Sugar)11 claims

Esomeprazole Magnesium11 claims

QUALITY · MIPS · 2024

Final MIPS score

85.7

Quality

58.8

Cost

88.4

Improvement activities

40.0

Promoting interop.

95.0

Payment adjustment

0.45%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$37

Payment records

By payment type

Food and Beverage$37

REFERRAL NETWORK

Where Katie Balderas'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). 15 inbound referrers · 16 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Mark Carey Internal Medicine · Waukesha, WI	72	309
Loganathan Elangovan Nephrology · Waukesha, WI	51	105
REHABILITATION HOSPITAL OF WISCONSIN, LLC	21	26
Timothy Mcavoy Internal Medicine · Waukesha, WI	19	38
John Grogan Diagnostic Radiology · Waukesha, WI	19	29
PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL, INC.	19	35
David Yenerich Diagnostic Radiology · Waukesha, WI	19	31
Robert Lesniak Diagnostic Radiology · Waukesha, WI	18	29
KORKOR, ADEL	16	34
Matthew Weinberg Cardiology · Waukesha, WI	15	21
Paul Fox Diagnostic Radiology · Waukesha, WI	15	24
Jessica Urban Nurse Practitioner · Milwaukee, WI	13	25

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
Mark Carey Internal Medicine · Waukesha, WI	80	240
PROHEALTH WAUKESHA MEMORIAL HOSPITAL, INC.	69	641
Eurofins Ascend Clinical, Llc Clinical Laboratory · Sunnyvale, CA	46	115
WATERTOWN MEDICAL CENTER LLC	38	95
Loganathan Elangovan Nephrology · Waukesha, WI	34	60
Imran Sajjad Internal Medicine · Waukesha, WI	23	55
PURITY DIALYSIS CENTERS, INC	22	61
PURITY DIALYSIS CENTERS, INC	18	31
KORKOR, ADEL	15	26
Julie Wilson Physical Medicine and Rehabilitation · Waukesha, WI	13	25
PROHEALTH HOME CARE INC	13	14
Timothy Mcavoy Internal Medicine · Waukesha, WI	12	17

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