Dr. Virginia Marian Balderston

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NPI Number Detailed Information

Provider Information:

Name:	Dr. Virginia Marian Balderston
Gender:	F
Provider License Number If Given:	MD045329L

NPI Information:

NPI:	1487632311
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	12/30/2005
Last Update Date:	1/23/2023
Reputation Report:

Provider Business Mailing Address:

Address:	5318 RANALLI DR Gibsonia, PA 15044
Phone Number:	7244499355
Fax Number:	7244492727

Provider Business Practice Location Address:

Address:	5318 RANALLI DR Gibsonia, PA 15044
Phone Number:	7244499355
Fax Number:	7244492727

Provider Taxonomy:

Primary:	207R00000X
Secondary (if any):
State:	PA

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About Dr. Virginia Marian Balderston

Dr. Virginia Marian Balderston (DR. VIRGINIA MARIAN BALDERSTON ) is A Internal Medicine Physician in Gibsonia, PA. The NPI Number for Dr. Virginia Marian Balderston is 1487632311.

The current location address for Dr. Virginia Marian Balderston is 5318 RANALLI DR Gibsonia, PA 15044 and the contact number is 7244499355 and fax number is 7244492727. The mailing address for Dr. Virginia Marian Balderston is 5318 RANALLI DR Gibsonia, PA 15044- 7244499355 (mailing address contact number - 7244499355).

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Virginia Marian Balderston ?

Answer: The NPI Number for Dr. Virginia Marian Balderston is 1487632311

Where is Dr. Virginia Marian Balderston located?

Answer: Dr. Virginia Marian Balderston is located at 5318 RANALLI DR Gibsonia, PA 15044.

What is the specialty for Dr. Virginia Marian Balderston ?

Answer: The Specialty of Dr. Virginia Marian Balderston is A Internal Medicine Physician.

Are there any online reviews for Dr. Virginia Marian Balderston ?

Answer: Yes! Check It Now.

Are there any other health care providers in Gibsonia, PA?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Virginia Marian Balderston

Number of HCPCS	38
Number of Medicare Beneficiaries	519
Number of Services	2449
Total Submitted Charge Amount	107623.57
Total Medicare Allowed Amount	98867.23
Total Medicare Payment Amount	80009.46
Total Medicare Standardized Payment Amount	81571.46
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	8
Number of Medicare Beneficiaries With Drug Services	114
Number of Drug Services	545
Total Drug Submitted Charge Amount	16418.1
Total Drug Medicare Allowed Amount	15880.02
Total Drug Medicare Payment Amount	14136.98
Total Drug Medicare Standardized Payment Amount	13854.18
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	30
Number of Medicare Beneficiaries With Medical	519
Number of Medical Services	1904
Total Medical Submitted Charge Amount	91205.47
Total Medical Medicare Allowed Amount	82987.21
Total Medical Medicare Payment Amount	65872.48
Total Medical Medicare Standardized Payment Amount	67717.28
Average Age of Beneficiaries	75
Number of Beneficiaries Age Less 65	15
Number of Beneficiaries Age 65 to 74	282
Number of Beneficiaries Age 75 to 84	153
Number of Beneficiaries Age Greater 84	69
Number of Female Beneficiaries	398
Number of Male Beneficiaries	121
Number of Non-Hispanic White Beneficiaries	508
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries	0
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement	15
Number of Beneficiaries With Medicare Only Entitlement	504
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.04
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.03
Percent (%) of Beneficiaries Identified With Asthma	0.03
Percent (%) of Beneficiaries Identified With Cancer	0.06
Percent (%) of Beneficiaries Identified With Heart Failure	0.05
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.09
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.03
Percent (%) of Beneficiaries Identified With Depression	0.1
Percent (%) of Beneficiaries Identified With Diabetes	0.12
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.29
Percent (%) of Beneficiaries Identified With Hypertension	0.35
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.17
Percent (%) of Beneficiaries Identified With Osteoporosis	0.07
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.24
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	0.9156

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type	Internal Medicine
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	12210
Number of Standardized 30-Day Fills	27078.766667
Aggregate Cost Paid for All Claims	773032.06
Number of Day's Supply for All Claims	793928
Number of Medicare Beneficiaries	814
Number of Claims, Including Refills, for Beneficiaries Age 65+	11763
Including Refills, for Beneficiaries Age 65+	26263.933333
Beneficiaries Age 65+	736260.47
Number of Day's Supply for All Claims for Beneficaries Age 65+	770287
Number of Medicare Beneficiaries Age 65+	786
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	1319
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	10873
Aggregate Cost Paid for Generic Drugs	227184.51
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	18
Aggregate Cost Paid for Other Drugs	1365.39
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	8799
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	544277.42
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	3411
Aggregate Cost Paid for Claims Filled by	228754.64
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	1040
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	85058.94
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	11170
by Low-Income Subsidy	687973.12
Total Claims of Opioid Drugs, Including	138
Aggregate Cost Paid for Opioid Drugs	2505.7
Opioid Claims	46
Opioid_Tot_Clms divided by the Tot_Clms	1.1302211302
Total Claims of Long-Acting Opioid Drugs	14
Aggregate Cost Paid for Long-Acting Opioid	593.68
Number of Day's Supply of All Long-Acting	354
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the	10.144927536
Total Claims of Antibiotic Drugs, Including	279
Aggregate Cost Paid for Antibiotic Drugs	3250.87
Antibiotic Claims	177
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	29
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	596.2
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims	13
Average Age of Beneficiaries	74.577395577
Number of Beneficiaries Age Less Than 65	28
Number of Beneficiaries Age 65 to 74	427
Number of Beneficiaries Age 75 to 84	245
Number of Female Beneficiaries	654
Number of Male Beneficiaries	160
Number of Non-Hispanic White	785
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not	17
Only Entitlement	779
Average Hierarchical Condition Category	0.9015486249

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