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PROVIDER PROFILE · NPI 1497930499

Justin SwartzMD

Pulmonary DiseaseCharlotte, NCI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
94.0
Quality
81.6
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.80%
APM Entity
PRESCRIBING · PART D · 2024
Total Rx claims
1,742
Beneficiaries
—
Total drug cost
$652K
Distinct drugs
27
Brand share
68.4%
Top prescribed drugs
Fluticasone/Umeclidin/Vilanter255 claims
Albuterol Sulfate224 claims
Prednisone201 claims
Montelukast Sodium115 claims
Budesonide/Formoterol Fumarate103 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
544
Unique beneficiaries
—
Total services
687
Distinct HCPCS
10
Medicare payment
$49K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 326 Pulmonary Disease providers in NC — below median (cohort median 770).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Justin Swartz'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). 27 inbound referrers · 37 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
CAROLINAS MEDICAL CENTER141621
LITTMANN, LASZLO64196
Mecklenburg Emergency Medical Services Agency
Ambulance Service Provider · Charlotte, NC
44179
Chien-Chung Chang
Diagnostic Radiology · Charlotte, NC
28140
Michael Lavelle
Diagnostic Radiology · Charlotte, NC
2480
Benjamin Bringardner
Pulmonary Disease · Charlotte, NC
20323
James Ferris
Diagnostic Radiology · Charlotte, NC
19117
Ross Bellavia
Diagnostic Radiology · Charlotte, NC
1997
Nirav Shah
Diagnostic Radiology · Charlotte, NC
17118
TAYLOR, ROBERT1795
Kenneth Coggins
Pulmonary Disease · Charlotte, NC
1692
Yeonhee Lee
Diagnostic Radiology · Charlotte, NC
1664
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
CAROLINAS MEDICAL CENTER68281
Mecklenburg Emergency Medical Services Agency
Ambulance Service Provider · Charlotte, NC
37130
CAROLINAS MEDICAL CENTER32127
STEELE, WALTER3179
LITTMANN, LASZLO2882
Jason Zolak
Pulmonary Disease · Charlotte, NC
22328
Douglas Swanson
Emergency Medicine · Charlotte, NC
2242
Peter Kravath
Diagnostic Radiology · Charlotte, NC
1973
TAYLOR, ROBERT1987
James Oliver
Diagnostic Radiology · Charlotte, NC
1838
Chien-Chung Chang
Diagnostic Radiology · Charlotte, NC
1760
HARTLEY, WILLIAM1747
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.