PROVIDER PROFILE · NPI 1760456297

Santosh Gupta-BalaMD

CardiologyPhiladelphia, PAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

199

Unique beneficiaries

—

Total services

204

Distinct HCPCS

Medicare payment

$5K

Peer benchmark

Total Medicare services vs. 1,062 Cardiology providers in PA — bottom quintile (cohort median 1,995).

PRESCRIBING · PART D · 2024

Total Rx claims

571

Beneficiaries

—

Total drug cost

$98K

Distinct drugs

Brand share

22.8%

Top prescribed drugs

Metoprolol Succinate92 claims

Rosuvastatin Calcium70 claims

Atorvastatin Calcium62 claims

Apixaban49 claims

Ezetimibe36 claims

QUALITY · MIPS · 2024

Final MIPS score

89.2

Quality

86.8

Cost

77.3

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.60%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$177

Payment records

By payment type

Food and Beverage$177

REFERRAL NETWORK

Where Santosh Gupta-Bala'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). 70 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
TENET HEALTH SYSTEM HAHNEMANN, LLC	346	902
Scott Hessen Clinical Cardiac Electrophysiology · Philadelphia, PA	147	648
Slawomir Kusmirek Cardiology · Philadelphia, PA	111	300
HYSELL, MARK	90	274
Jonathan Rubin Nuclear Medicine · Philadelphia, PA	86	275
Sherry Shang Diagnostic Radiology · Philadelphia, PA	76	204
City Of Philadelphia Ambulance Service Provider · Philadelphia, PA	76	150
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Norristown, PA	73	223
Brett Victor Cardiology · Philadelphia, PA	72	246
Larry Krevolin Nephrology · Philadelphia, PA	52	199
Khuram Kazmi Diagnostic Radiology · Camden, NJ	42	121
Valeria Potigailo Diagnostic Radiology · Aurora, CO	40	78

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