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PROVIDER PROFILE · NPI 1306801543

Roxana CarcelenMD

PRACTICEUABSee all providers at this practice →
Pulmonary DiseaseBirmingham, ALI
CROSS-REFERENCE

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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 010016
Hospital
CCN 010033
Hospital
CCN 010114
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
370
Unique beneficiaries
—
Total services
404
Distinct HCPCS
7
Medicare payment
$22K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 167 Pulmonary Disease providers in AL — below median (cohort median 943).
PRESCRIBING · PART D · 2024
Total Rx claims
935
Beneficiaries
—
Total drug cost
$331K
Distinct drugs
21
Brand share
76.1%
Top prescribed drugs
Albuterol Sulfate187 claims
Fluticasone/Umeclidin/Vilanter159 claims
Umeclidinium Brm/Vilanterol Tr115 claims
Montelukast Sodium73 claims
Budesonide/Glycopyr/Formoterol49 claims
QUALITY · MIPS · 2024
Final MIPS score
98.7
Quality
80.2
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
1.00%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$555
Payment records
16
By payment type
Food and Beverage$555
REFERRAL NETWORK

Where Roxana Carcelen'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). 51 inbound referrers · 90 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
BAPTIST HEALTH SYSTEM, INC3271,656
NPI 12654374611541,098
BRAWNER, STEPHEN142934
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
130557
MCDANIEL, BENJAMIN125852
Anne Deatkine
Diagnostic Radiology · Alabaster, AL
89687
Amanda Denham
Internal Medicine · Birmingham, AL
79784
Regional Paramedical Services Inc
Ambulance Service Provider · Jasper, AL
75255
Mark Mullens
Cardiology · Alabaster, AL
48378
UNIVERSITY OF ALABAMA AT BIRMINGHAM46171
Neeraj Mehta
Cardiology · Alabaster, AL
46331
AFFINITY HOSPITAL LLC35139
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Patrick Grant
Diagnostic Radiology · Alabaster, AL
144789
BRAWNER, STEPHEN139908
BAPTIST HEALTH SYSTEM, INC136553
MCDANIEL, BENJAMIN131841
Manuel Carcelen
Pulmonary Disease · Birmingham, AL
1201,471
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
111422
NPI 126543746199554
Michael Connolly
Pulmonary Disease · Clanton, AL
87837
Amanda Denham
Internal Medicine · Birmingham, AL
78890
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Tucker, GA
70306
BROOKWOOD HEALTH SERVICES, INC.68279
Cytopath Pc
Clinical Laboratory · Alabaster, AL
65294
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.