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PROVIDER PROFILE · NPI 1588866370

Valeska BalderasMD

GastroenterologyMcallen, TXI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
Total Rx claims
3,638
Beneficiaries
—
Total drug cost
$2.0M
Distinct drugs
32
Brand share
29.3%
Top prescribed drugs
Famotidine791 claims
Pantoprazole Sodium511 claims
Omeprazole286 claims
Linaclotide236 claims
Sucralfate188 claims
QUALITY · MIPS · 2024
Final MIPS score
75.0
Quality
0.0
Cost
80.2
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
0.00%
Individual
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
760
Unique beneficiaries
—
Total services
1,078
Distinct HCPCS
19
Medicare payment
$83K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,103 Gastroenterology providers in TX — top quintile (cohort median 699).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$855
Payment records
38
By payment type
Food and Beverage$843
Education$12
REFERRAL NETWORK

Where Valeska 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). 37 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
DOCTORS HOSPITAL AT RENAISSANCE, LTD2601,156
Med Care Emergency Medical Services Inc
Ambulance Service Provider · Mcallen, TX
58161
Primex Clinical Laboratories Inc.
Clinical Laboratory · Van Nuys, CA
57221
Vangala Reddy
Diagnostic Radiology · Edinburg, TX
46137
Ravindra Veeramachaneni
Pathology · Weslaco, TX
44145
Eduardo Candanosa
Family Practice · Mcallen, TX
44140
ESCALANTE-GLORSKY, SUSANA36139
Eduardo Guerra Valencia
Family Practice · Mcallen, TX
3696
GRAHAM, FRANKLIN3494
Clinical Pathology Laboratories, Inc.
Clinical Laboratory · Austin, TX
33127
Jose Valencia
Pathology · Mcallen, TX
2870
CORNERSTONE REGIONAL HOSPITAL, LP2675
Refers patients to
Outbound — where patients go next
No outbound pairs above the suppression threshold.
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.