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PROVIDER PROFILE · NPI 1093705410

Charles BirbaraM.D.

PRACTICECHARLES A. BIRBARA, M.D.See all providers at this practice →
RheumatologyWorcester, MAI
CROSS-REFERENCE

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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 220001
Hospital
CCN 220019
Hospital
CCN 220163
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,812
Unique beneficiaries
—
Total services
215,540
Distinct HCPCS
22
Medicare payment
$1.0M
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 204 Rheumatology providers in MA — top quintile (cohort median 564).
REFERRAL NETWORK

Where Charles Birbara'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). 21 inbound referrers · 45 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Quest Diagnostics Massachusetts Llc
Clinical Laboratory · Marlborough, MA
2681,051
UMASS MEMORIAL HEALTHALLIANCE CLINTON HOSPITAL INC42274
Paul Dufault
Internal Medicine · Worcester, MA
2477
Noreen Lasalle-Green
Diagnostic Radiology · Templeton, MA
2031
Laboratory Corporation Of America Holdings
Clinical Laboratory · Worcester, MA
2084
KELLY, JOHN1869
CRESCENDO BIOSCIENCE, INC1832
Allen Filiberti
Interventional Cardiology · Worcester, MA
1643
HENRY HEYWOOD MEMORIAL HOSPITAL1664
Thomas Cahn
Dermatology · Jupiter, FL
1543
MILFORD REGIONAL MEDICAL CENTER INC1436
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
1435
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Quest Diagnostics Massachusetts Llc
Clinical Laboratory · Marlborough, MA
3061,250
UMASS MEMORIAL MEDICAL CENTER, INC.2381,118
VHS ACQUISITION SUBSIDIARY NUMBER 7 INC76362
UMASS MEMORIAL HEALTHALLIANCE CLINTON HOSPITAL INC37204
Paul Dufault
Internal Medicine · Worcester, MA
30122
UMASS MEMORIAL HEALTH-HARRINGTON HOSPITAL INC30128
Umass Memorial Mri & Imaging Center, Llc
Independent Diagnostic Testing Facility (IDTF) · Worcester, MA
2973
CRESCENDO BIOSCIENCE, INC2667
GORE, JOEL25153
Laboratory Corporation Of America Holdings
Clinical Laboratory · Worcester, MA
2499
Noreen Lasalle-Green
Diagnostic Radiology · Templeton, MA
2137
Laboratory Corporation Of America Holdings
Clinical Laboratory · Windham, NH
1953
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.
PRESCRIBING · PART D · 2024
Total Rx claims
1,141
Beneficiaries
—
Total drug cost
$480K
Distinct drugs
26
Brand share
46.1%
Top prescribed drugs
Hydrocodone/Acetaminophen221 claims
Methotrexate Sodium138 claims
Gabapentin125 claims
Tramadol Hcl91 claims
Prednisone86 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$4K
Payment records
124
By payment type
Food and Beverage$3K
Education$99
QUALITY · MIPS · 2024
Final MIPS score
100.0
Quality
83.0
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
1.05%
APM Entity