Dr. Michael E. Balderas, MD

Dr. Balderas practices at South Heart Cardiovascular Institute, LLC in Harlingen, Texas.

Dr. Balderas' NPI, 1669733341, was assigned on May 30, 2012. Dr. Balderas graduated from Ross University School of Medicine in 2011. Dr. Balderas holds Texas license S2232.

Dr. Balderas' primary practice is South Heart Cardiovascular Institute, LLC, at 2310 N Ed Carey Dr, Harlingen, TX 78550 in Cameron County. The practice phone is (956) 428-5522.

Dr. Balderas' primary practice is South Heart Cardiovascular Institute, LLC in Harlingen, Texas. Dr. Balderas is also affiliated with Valley Baptist Medical Center - Harlingen. The medical group on file is HMC RGV Physicians Group. Dmand AI also links Dr. Balderas to 3 more hospitals, 4 group practices and clinics and 3 medical groups, each named with a free account.

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Balderas practices, 8 sites in all. Vendor and product names are available with a free account.

Cardiovascular disease is Dr. Balderas' primary specialty in the NPI Registry, under taxonomy code 207RC0000X. Dr. Balderas is board certified in cardiovascular disease by the American Board of Internal Medicine. Dmand AI has Dr. Balderas' licenses on file in 2 states: Texas and New Mexico.

Dmand AI lists aneurysm, atrial fibrillation and flutter, cardiac catheterization, cardiomyopathy, cerebrovascular disease, chronic hypertension, coronary artery disease and deep vein thrombosis (DVT) among the conditions Dr. Balderas treats.

CMS data shows 1,102 Medicare services from Dr. Balderas across 15 procedure codes in 2024, for 434 Medicare patients. Medicare paid $86,751 for them.

CMS counts 434 Medicare patients who saw Dr. Balderas in 2024. The largest group is 75 to 84, with 162 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 32% are also on Medicaid. Their average risk score is 2.44, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Balderas' median patient age at 74, with 51% women.

In 2024, Dr. Balderas wrote 6,352 Medicare Part D claims for 732 patients. 87% of them were for generic drugs. CMS names the drug for 6,080 of them, across 70 drugs with 11 or more claims each, at $867,485 in total drug cost. In 2023, CMS named 5,357 claims across 63 drugs.

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 97 out of 100 for Dr. Balderas for performance year 2024, reported through an alternative payment model (APM). Dr. Balderas accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 13 procedures of leg revascularization (restoring blood flow) by Dr. Balderas, more than 68% of the clinicians it reports for that procedure.

Pacemaker insertion or repair: 1 to 10 procedures (CMS shows small counts as a range)

CMS Open Payments shows 225 general payments to Dr. Balderas from 32 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 71% of the total. Medtronic Vascular, Inc. paid the most, $2,718.

Dr. Balderas graduated from Ross University School of Medicine in 2011.

Dr. Balderas is in network with 23 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 14. Check the plan with the practice before a visit.