Physician

Imran Ahmed Baloch, M.D

According to 2025 Medicare claims, Imran Baloch, M.D (NPI: 1659399822) practices nephrology in the Appleton, WI market, with the plurality of this provider's patient population coming from Outagamie, WI. This provider's primary affiliated billing organization is FOX VALLEY NEPHROLOGY PARTNERS S C (NPI: 1891713756; TIN: 201741300) and primary practice location at 54914-5745. Baloch is affiliated with the HSHS ACO, L.L.C. (ACO ID: A2783) and THEDACARE ACO (ACO ID: A4988), participating under the MSSP model.

Baloch's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 283 traditional Medicare patients, billed 1,061 HCPCS/CPT codes, and received $125,769 in Medicare payments. The top billing code was 90960 (Dialysis services, 4 or more physician visits per month (20 years or older)). Part D data shows 1,057 prescription claims across 214 beneficiaries totaling $683,724 in drug costs, led by Jynarque (Tolvaptan). Open Payments data shows 8 records totaling $165. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $38,499 and ending at $683,724. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$124K$247K2015 Medicare payment: $42,623 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $118,690 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $196,464 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $183,923 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $216,224 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $247,200 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $160,065 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $142,978 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $125,769 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015172508$42,623
2016N/RN/RN/R
2017290976$118,690
20184641,908$196,464
20194591,869$183,923
20204561,909$216,224
20214981,873$247,200
20223951,399$160,065
20232401,038$142,978
20242831,061$125,769

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$342K$684K2015 Drug cost: $38,499 (USD; Tot_Drug_Cst)2016 Drug cost: $222,170 (USD; Tot_Drug_Cst)2017 Drug cost: $259,780 (USD; Tot_Drug_Cst)2018 Drug cost: $156,760 (USD; Tot_Drug_Cst)2019 Drug cost: $209,048 (USD; Tot_Drug_Cst)2020 Drug cost: $171,318 (USD; Tot_Drug_Cst)2021 Drug cost: $98,518 (USD; Tot_Drug_Cst)2022 Drug cost: $149,088 (USD; Tot_Drug_Cst)2023 Drug cost: $254,881 (USD; Tot_Drug_Cst)2024 Drug cost: $683,724 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201575296$38,499
201645709$222,170
2017137760$259,780
2018168651$156,760
2019166693$209,048
2020161668$171,318
2021202685$98,518
2022239883$149,088
2023199932$254,881
20242141,057$683,724

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
90960Dialysis services, 4 or more physician visits per month (20 years or older)42259$252
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3536$124
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more5273$89
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes94240$58
81000Manual urinalysis test with examination using microscope, non-automated3232$4

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
JynarqueTolvaptan11308$222,640
XphozahTenapanor Hcl351,290$121,136
VelphoroSucroferric Oxyhydroxide19810$52,410
AuryxiaFerric Citrate221,020$39,603
Sevelamer CarbonateSevelamer Carbonate1005,682$16,388

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.8$165Aurinia Pharma U.S., Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Imran Ahmed Baloch, M.D?

Tedicare shows public-source Medicare data for Imran Ahmed Baloch, M.D (NPI 1659399822), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Imran Ahmed Baloch, M.D have ACO affiliation data?

Imran Ahmed Baloch, M.D is shown with ACO affiliation data for HSHS ACO, L.L.C. (MSSP, ACO ID A2783) and THEDACARE ACO (MSSP, ACO ID A4988).

What billing organization is linked to Imran Ahmed Baloch, M.D?

Imran Ahmed Baloch, M.D is linked to FOX VALLEY NEPHROLOGY PARTNERS S C (billing NPI 1891713756) in the available physician profile data.

Does Imran Ahmed Baloch, M.D have Open Payments data?

Imran Ahmed Baloch, M.D has 8 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.