PROVIDER PROFILE · NPI 1629135470

Ernesto BanalagayM.D.

NephrologyPortsmouth, OHI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

775

Unique beneficiaries

—

Total services

1,407

Distinct HCPCS

Medicare payment

$140K

Peer benchmark

Total Medicare services vs. 348 Nephrology providers in OH — above median (cohort median 981).

PRESCRIBING · PART D · 2024

Total Rx claims

474

Beneficiaries

—

Total drug cost

$49K

Distinct drugs

Brand share

12.9%

Top prescribed drugs

Sevelamer Carbonate134 claims

Calcitriol77 claims

Furosemide51 claims

Sodium Zirconium Cyclosilicate42 claims

Amlodipine Besylate33 claims

QUALITY · MIPS · 2024

Final MIPS score

67.8

Quality

90.0

Cost

74.9

Improvement activities

0.0

Promoting interop.

0.0

Payment adjustment

-0.86%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$120

Payment records

By payment type

Food and Beverage$72

Education$48

REFERRAL NETWORK

Where Ernesto Banalagay'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). 77 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
SOUTHERN OHIO MEDICAL CENTER	537	3,632
Loretta Settonni Diagnostic Radiology · Portsmouth, OH	193	833
Scott Logan Diagnostic Radiology · Portsmouth, OH	186	900
Norman Jacobs Diagnostic Radiology · Portsmouth, OH	179	663
Ryan Nichols Diagnostic Radiology · Portsmouth, OH	177	731
Thomas Khoury General Surgery · Portsmouth, OH	140	1,391
Ronald Arrick Internal Medicine · Portsmouth, OH	136	854
NPI 1245210236	111	796
Jitendra Patel Family Practice · Portsmouth, OH	103	815
Daniel Jovanovich Cardiology · Weirton, WV	92	477
Kimberly Umhoefer Internal Medicine · Battle Creek, MI	89	483
DIALYSIS CLINIC INC	85	464

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history