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PROVIDER PROFILE · NPI 1154398253

Carl BakerMD

PRACTICEHILTON HEAD RETINA INSTITUTE, LLCSee all providers at this practice →
OphthalmologyHilton Head Island, SCI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
Total Rx claims
469
Beneficiaries
—
Total drug cost
$21K
Distinct drugs
10
Brand share
15.8%
Top prescribed drugs
Prednisolone Acetate179 claims
Timolol Maleate74 claims
Diclofenac Sodium42 claims
Ofloxacin28 claims
Latanoprost28 claims
QUALITY · MIPS · 2024
Final MIPS score
93.2
Quality
100.0
Cost
77.4
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.77%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$724
Payment records
27
By payment type
Food and Beverage$724
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
3,748
Unique beneficiaries
—
Total services
55,813
Distinct HCPCS
27
Medicare payment
$2.9M
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 262 Ophthalmology providers in SC — top quintile (cohort median 3,252).
REFERRAL NETWORK

Where Carl Baker'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). 39 inbound referrers · 86 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
MERCY HEALTH-LOURDES HOSPITAL LLC134245
Paducah Ophthalmology Asc Llc
Ambulatory Surgical Center · Paducah, KY
105206
MURRAY-CALLOWAY COUNTY PUBLIC HOSPITAL CORPORATION2961
Harold Halfhill
Diagnostic Radiology · Paducah, KY
2026
Muhammed Anwer
Diagnostic Radiology · Galesburg, IL
2023
Bradley Williams
Diagnostic Radiology · Louisville, KY
1920
Danny Butler
Internal Medicine · Paducah, KY
1957
BASSI, JOSEPH1967
NPI 14078568671928
LUNDBERG, GERSHOM1924
James Vanhoose
Diagnostic Radiology · Paducah, KY
1821
Halden Ford
Dermatology · Paducah, KY
1821
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
BAPTIST HEALTHCARE SYSTEM, INC143282
MERCY HEALTH-LOURDES HOSPITAL LLC131271
Laboratory Corporation Of America Holdings
Clinical Laboratory · Dublin, OH
129213
Paducah Ophthalmology Asc Llc
Ambulatory Surgical Center · Paducah, KY
86148
Julie Stewart
Certified Registered Nurse Anesthetist (CRNA) · Paducah, KY
55128
PINELAKE REGIONAL HOSPITAL LLC3871
MILLER, GARY3692
Labone Llc
Clinical Laboratory · Lenexa, KS
3450
SMITH, RICHARD31100
MARSHALL COUNTY HOSPITAL DISTRICT2969
Frederic Park
Diagnostic Radiology · Cape Girardeau, MO
2943
MURRAY-CALLOWAY COUNTY PUBLIC HOSPITAL CORPORATION2961
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.