What is Katie Balderas's specialty?

Katie Balderas (NPI 1497184279) is a Medicare-billing provider whose primary specialty is Physician Assistant in Wauwatosa, WI.

Where does Katie Balderas practice?

Katie Balderas practices in Wauwatosa, WI, based on the location reported in the CMS Medicare provider datasets for NPI 1497184279.

How much does Medicare pay Katie Balderas?

Katie Balderas (NPI 1497184279) received approximately $4K in total Medicare Part B payments, serving 51 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

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 · 2025

Total received

$125

Payment records

By payment type

Food and Beverage$125

Top paying entities

Food and Beverage$125

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

Healthparse Signals

Monitor this provider for changes — dated NPI change events