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PROVIDER PROFILE · NPI 1346258746

Carlton CauthenM.D.

Pulmonary DiseaseColumbia, 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
4,747
Beneficiaries
—
Total drug cost
$10.7M
Distinct drugs
55
Brand share
68.7%
Top prescribed drugs
Albuterol Sulfate834 claims
Fluticasone/Umeclidin/Vilanter517 claims
Tadalafil248 claims
Budesonide/Glycopyr/Formoterol217 claims
Prednisone197 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
2,798
Unique beneficiaries
—
Total services
3,467
Distinct HCPCS
21
Medicare payment
$194K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 159 Pulmonary Disease providers in SC — top quintile (cohort median 1,085).
QUALITY · MIPS · 2024
Final MIPS score
84.1
Quality
68.9
Cost
78.1
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.38%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$4K
Payment records
19
By payment type
Consulting Fee$4K
Food and Beverage$480
Travel and Lodging$133
Education$18
REFERRAL NETWORK

Where Carlton Cauthen'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). 118 inbound referrers · 184 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
PROVIDENCE HOSPITAL, LLC5442,541
LEXINGTON COUNTY HEALTH SERVICES DISTRICT INC178705
Harry Hardin
Diagnostic Radiology · Greenville, SC
169829
NEUFFER, FRANCIS119438
Christopher Perry
Pulmonary Disease · Columbia, SC
1142,104
PRISMA HEALTH-MIDLANDS82287
Charles Hubbard
Diagnostic Radiology · Columbia, SC
72410
LOUGH, LAWRENCE71323
Douglas Bull
Diagnostic Radiology · Greenville, SC
70345
PROVIDENCE HEALTH NETWORK LLC69163
INTERMEDICAL HOSPITAL OF SOUTH CAROLINA INC66473
William Meredith
Diagnostic Radiology · Columbia, SC
63274
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
PROVIDENCE HOSPITAL, LLC3141,098
Laboratory Corporation Of America Holdings
Clinical Laboratory · Burlington, NC
208621
Henry Black
Diagnostic Radiology · Greenville, SC
1891,337
LEXINGTON COUNTY HEALTH SERVICES DISTRICT INC162790
Christopher Perry
Pulmonary Disease · Columbia, SC
1532,528
Douglas Mitchell Mcconnell
Diagnostic Radiology · Columbia, SC
132545
John Garrick
Diagnostic Radiology · Greenville, SC
128642
Ziad Mattar
Pulmonary Disease · Orlando, FL
1242,009
William Ghent
Pulmonary Disease · West Columbia, SC
1241,403
Harry Hardin
Diagnostic Radiology · Greenville, SC
116534
PROVIDENCE HEALTH NETWORK LLC111176
Matthew Marcus
Diagnostic Radiology · Greenville, SC
84270
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.