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PROVIDER PROFILE · NPI 1609816735

James CarrollMD

PRACTICEJAMES R CARROLL MD PASee all providers at this practice →
Family PracticeMullins, SCI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
24.9
Quality
0.0
Cost
83.0
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
-6.01%
Individual
PRESCRIBING · PART D · 2024
Total Rx claims
20,747
Beneficiaries
—
Total drug cost
$1.3M
Distinct drugs
196
Brand share
21.6%
Top prescribed drugs
Alprazolam1,281 claims
Prednisone680 claims
Levothyroxine Sodium672 claims
Gabapentin599 claims
Losartan Potassium551 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,778
Unique beneficiaries
—
Total services
26,057
Distinct HCPCS
14
Medicare payment
$117K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,484 Family Practice providers in SC — top quintile (cohort median 1,121).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where James Carroll'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). 33 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
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2564
GRAND STRAND REGIONAL MEDICAL CENTER LLC2458
Elizabeth Kelley
Diagnostic Radiology · Conway, SC
2449
Paul Kuperman
Diagnostic Radiology · Conway, SC
2352
Michael Brown
Diagnostic Radiology · Conway, SC
2276
MEDICAL UNIVERSITY HOSPITAL AUTHORITY2052
County Of Marion
Ambulance Service Provider · Marion, SC
1937
CONWAY HOSPITAL, INC.1836
John Daly
Diagnostic Radiology · Conway, SC
1732
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.