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PROVIDER PROFILE · NPI 1821089558

Karen BallenMD

PRACTICEPULMMED LLCSee all providers at this practice →
Hematopoietic Cell Transplantation and Cellular TherapyFalls Church, VAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
269
Unique beneficiaries
—
Total services
592
Distinct HCPCS
8
Medicare payment
$35K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 4 Hematopoietic Cell Transplantation and Cellular Therapy providers in VA — above median (cohort median 612).
PRESCRIBING · PART D · 2024
Total Rx claims
317
Beneficiaries
—
Total drug cost
$696K
Distinct drugs
12
Brand share
26.2%
Top prescribed drugs
Acyclovir87 claims
Ruxolitinib Phosphate40 claims
Prednisone33 claims
Pantoprazole Sodium29 claims
Atovaquone27 claims
QUALITY · MIPS · 2024
Final MIPS score
86.5
Quality
79.8
Cost
75.1
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.48%
Group
REFERRAL NETWORK

Where Karen Ballen'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 · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
THE GENERAL HOSPITAL CORPORATION1554,332
Philip Amrein
Medical Oncology · Boston, MA
49823
Robert Hasserjian
Pathology · Boston, MA
38227
Valentina Nardi
Pathology · Boston, MA
23133
PATTI, JOHN1659
Hanno Hock
Hematology-Oncology · Boston, MA
15221
Matthew Gilman
Diagnostic Radiology · Boston, MA
1557
Anthony Iafrate
Pathology · Boston, MA
15118
Abner Louissaint
Pathology · Boston, MA
1492
LENNERZ, JOCHEN1483
Ajay Singh
Diagnostic Radiology · Boston, MA
1373
Joanne Shepard
Diagnostic Radiology · Boston, MA
1246
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.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$1K
Payment records
7
By payment type
Food and Beverage$1K
Education$100
Gift$82