What is Carlos Gadea's specialty?

Carlos Gadea (NPI 1417141763) is a Medicare-billing provider whose primary specialty is Rheumatology in Montgomery, AL.

Where does Carlos Gadea practice?

Carlos Gadea practices in Montgomery, AL, based on the location reported in the CMS Medicare provider datasets for NPI 1417141763.

How much does Medicare pay Carlos Gadea?

Carlos Gadea (NPI 1417141763) received approximately $31K in total Medicare Part B payments, serving 237 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1417141763

Carlos GadeaM.D.

RheumatologyMontgomery, ALI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

351

Unique beneficiaries

—

Total services

477

Distinct HCPCS

Medicare payment

$31K

Peer benchmark

Total Medicare services vs. 73 Rheumatology providers in AL — bottom quintile (cohort median 5,906).

PRESCRIBING · PART D · 2024

Total Rx claims

3,950

Beneficiaries

—

Total drug cost

$3.2M

Distinct drugs

Brand share

28.0%

Top prescribed drugs

Hydroxychloroquine Sulfate807 claims

Methotrexate Sodium606 claims

Prednisone397 claims

Tramadol Hcl169 claims

Leflunomide167 claims

QUALITY · MIPS · 2024

Final MIPS score

83.0

Quality

64.4

Cost

78.9

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.34%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$64

Payment records

By payment type

Food and Beverage$64

Top paying entities

Food and Beverage$64

REFERRAL NETWORK

Where Carlos Gadea'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). 5 inbound referrers · 15 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	61	130
TIDALHEALTH NANTICOKE, INC	49	93
ATLANTIC GENERAL HOSPITAL CORPORATION	37	138
Quest Diagnostics Incorporated Md Clinical Laboratory · Baltimore, MD	16	32
Simmi Chawla Diagnostic Radiology · Salisbury, MD	11	18

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
TIDALHEALTH PENINSULA REGIONAL, INC.	94	286
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	49	82
ATLANTIC GENERAL HOSPITAL CORPORATION	36	93
TIDALHEALTH NANTICOKE, INC	35	62
Ivonne Herrera Rheumatology · Seaford, DE	30	68
William Reid Diagnostic Radiology · Salisbury, MD	23	80
Ximena Ruiz Rheumatology · Montgomery, AL	22	33
David Nizza Diagnostic Radiology · Salisbury, MD	19	43
Alvaro Buenano Cardiology · Seaford, DE	17	26
Gerard Hogan Diagnostic Radiology · Salisbury, MD	16	24
BEEBE MEDICAL CENTER, INC.	15	33
Michael Marks Diagnostic Radiology · Salisbury, MD	13	20

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

Healthparse Signals

Monitor this provider for changes — dated NPI change events