PROVIDER PROFILE · NPI 1164412029

David ScalesM.D.

OphthalmologySan Antonio, TXI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

824

Unique beneficiaries

—

Total services

5,278

Distinct HCPCS

Medicare payment

$514K

Peer benchmark

Total Medicare services vs. 1,238 Ophthalmology providers in TX — top quintile (cohort median 1,864).

PRESCRIBING · PART D · 2024

Total Rx claims

229

Beneficiaries

—

Total drug cost

$49K

Distinct drugs

Brand share

53.7%

Top prescribed drugs

Prednisone44 claims

Loteprednol Etabonate43 claims

Prednisolone Acetate40 claims

Bromfenac Sodium37 claims

Valacyclovir Hcl32 claims

QUALITY · MIPS · 2024

Final MIPS score

99.8

Quality

91.6

Cost

0.0

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

1.04%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$48

Payment records

By payment type

Food and Beverage$48

REFERRAL NETWORK

Where David Scales'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). 3 inbound referrers · 9 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., L.L.P.	26	58
Clinical Pathology Laboratories, Inc. Clinical Laboratory · Austin, TX	25	70
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION	12	23

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
Laboratory Corporation Of America Clinical Laboratory · Houston, TX	57	156
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Irving, TX	56	161
Clinical Pathology Laboratories, Inc. Clinical Laboratory · Austin, TX	29	63
METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., L.L.P.	23	61
VHS SAN ANTONIO PARTNERS LLC	22	46
William Flynn Ophthalmology · San Antonio, TX	14	34
Laboratory Corporation Of America Holdings Clinical Laboratory · Burlington, NC	13	27
SAN ANTONIO ASC L.P.	13	41
Raymond Hernandez Iii Ophthalmology · San Antonio, TX	13	25

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history