PROVIDER PROFILE · NPI 1538124607

Manuel CarcelenMD

PRACTICEUABSee all providers at this practice →

Pulmonary DiseaseBirmingham, ALI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

332

Unique beneficiaries

—

Total services

496

Distinct HCPCS

Medicare payment

$28K

Peer benchmark

Total Medicare services vs. 167 Pulmonary Disease providers in AL — below median (cohort median 943).

PRESCRIBING · PART D · 2024

Total Rx claims

2,443

Beneficiaries

—

Total drug cost

$1.1M

Distinct drugs

Brand share

79.2%

Top prescribed drugs

Albuterol Sulfate458 claims

Fluticasone/Umeclidin/Vilanter322 claims

Umeclidinium Brm/Vilanterol Tr217 claims

Budesonide/Glycopyr/Formoterol140 claims

Prednisone137 claims

QUALITY · MIPS · 2024

Final MIPS score

98.7

Quality

80.2

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

1.00%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$307

Payment records

By payment type

Food and Beverage$307

REFERRAL NETWORK

Where Manuel Carcelen'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). 51 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
BAPTIST HEALTH SYSTEM, INC	335	1,689
NPI 1265437461	186	1,372
MCDANIEL, BENJAMIN	176	1,455
BRAWNER, STEPHEN	168	1,466
Roxana Carcelen Pulmonary Disease · Birmingham, AL	120	1,471
Anne Deatkine Diagnostic Radiology · Alabaster, AL	93	663
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	86	316
Amanda Denham Internal Medicine · Birmingham, AL	72	838
Regional Paramedical Services Inc Ambulance Service Provider · Jasper, AL	70	274
Neeraj Mehta Cardiology · Alabaster, AL	53	375
Mark Mullens Cardiology · Alabaster, AL	46	516
Brandon Hamilton Internal Medicine · Colorado Springs, CO	38	215

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

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