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PROVIDER PROFILE · NPI 1386637163

Charles HallMD

Pulmonary DiseaseBay Shore, NYI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
2,252
Unique beneficiaries
—
Total services
3,754
Distinct HCPCS
19
Medicare payment
$233K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 811 Pulmonary Disease providers in NY — top quintile (cohort median 790).
PRESCRIBING · PART D · 2024
Total Rx claims
2,442
Beneficiaries
—
Total drug cost
$1.6M
Distinct drugs
24
Brand share
79.2%
Top prescribed drugs
Albuterol Sulfate543 claims
Fluticasone/Umeclidin/Vilanter291 claims
Fluticasone/Vilanterol221 claims
Umeclidinium Brm/Vilanterol Tr145 claims
Fluticasone Propion/Salmeterol112 claims
QUALITY · MIPS · 2024
Final MIPS score
93.1
Quality
79.8
Cost
0.0
Improvement activities
40.0
Promoting interop.
88.8
Payment adjustment
0.76%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Charles Hall'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). 108 inbound referrers · 186 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
SOUTH SHORE UNIVERSITY HOSPITAL253515
Dheeraj Khanna
Pulmonary Disease · Bay Shore, NY
161434
Gary Wohlberg
Pulmonary Disease · Bay Shore, NY
126394
Steven Wengrover
Diagnostic Radiology · Bedford Hills, NY
120341
Sunrise Medical Laboratories, Inc.
Clinical Laboratory · Hicksville, NY
107304
Joseph Saraceno
Pulmonary Disease · Bay Shore, NY
103311
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Melville, NY
94351
Northwell Health Laboratories
Clinical Laboratory · New Hyde Park, NY
901,083
NORTH SHORE UNIVERSITY HOSPITAL88234
ST. FRANCIS HOSPITAL85166
Anastasios Manaris
Clinical Cardiac Electrophysiology · West Islip, NY
79146
Brian Webber
Diagnostic Radiology · West Islip, NY
65134
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Ronald Zielinski
Pulmonary Disease · Bay Shore, NY
181482
Laurence Engelberg
Pulmonary Disease · Bay Shore, NY
158446
GOOD SAMARITAN HOSPITAL MEDICAL CENTER158389
Gary Wohlberg
Pulmonary Disease · Bay Shore, NY
147391
SOUTH SHORE UNIVERSITY HOSPITAL141319
Dheeraj Khanna
Pulmonary Disease · Bay Shore, NY
121354
ZWANG, JEFFREY112289
Northwell Health Laboratories
Clinical Laboratory · New Hyde Park, NY
961,113
Joseph Saraceno
Pulmonary Disease · Bay Shore, NY
89305
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Melville, NY
88307
Emergency Ambulance Service, Inc.
Ambulance Service Provider · Bohemia, NY
86263
FAGELMAN, DONALD86227
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.