PROVIDER PROFILE · NPI 1972779098

Anil BalaniM.D.

GastroenterologyPennington, NJI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

217

Unique beneficiaries

—

Total services

274

Distinct HCPCS

Medicare payment

$30K

Peer benchmark

Total Medicare services vs. 544 Gastroenterology providers in NJ — bottom quintile (cohort median 963).

PRESCRIBING · PART D · 2024

Total Rx claims

493

Beneficiaries

—

Total drug cost

$2.4M

Distinct drugs

Brand share

56.2%

Top prescribed drugs

Ustekinumab74 claims

Sodium, Potassium,mag Sulfates74 claims

Pantoprazole Sodium62 claims

Omeprazole54 claims

Sod Picosulf/Mag Ox/Citric Ac44 claims

QUALITY · MIPS · 2024

Final MIPS score

96.9

Quality

79.4

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.92%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$27K

Payment records

By payment type

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$24K

Travel and Lodging$2K

Food and Beverage$1K

REFERRAL NETWORK

Where Anil Balani'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). 55 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
KENNEDY UNIVERSITY HOSPITAL INC.	211	593
Peter Curreri Pulmonary Disease · Merchantville, NJ	107	398
Mitchell Rosenberg Cardiology · Haddon Heights, NJ	84	259
VIRTUA OUR LADY OF LOURDES HOSPITAL INC	58	152
Ahmed Shehata Gastroenterology · Cherry Hill, NJ	54	102
Ronald Cohen Cardiology · Haddon Heights, NJ	51	163
Lori Depersia Diagnostic Radiology · Meadowbrook, PA	39	104
SULLIVAN, PATRICK	38	69
Gem Ambulance Llc Ambulance Service Provider · Lakewood, NJ	37	81
Cherry Hill Fire District 13 Ambulance Service Provider · Cherry Hill, NJ	36	86
Aculabs Inc Clinical Laboratory · East Brunswick, NJ	33	213
Steven Silver Cardiology · Haddon Heights, NJ	33	97

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