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

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