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PROVIDER PROFILE · NPI 1619918851

Carlos CruzMD

Emergency MedicineChattanooga, TNI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
245
Unique beneficiaries
—
Total services
258
Distinct HCPCS
4
Medicare payment
$28K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 849 Emergency Medicine providers in TN — below median (cohort median 332).
PRESCRIBING · PART D · 2024
Total Rx claims
474
Beneficiaries
—
Total drug cost
$3K
Distinct drugs
13
Brand share
22.6%
Top prescribed drugs
Tramadol Hcl97 claims
Naproxen60 claims
Azithromycin43 claims
Cyclobenzaprine Hcl41 claims
Sulfamethoxazole/Trimethoprim37 claims
QUALITY · MIPS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Carlos Cruz'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
SOUTHERN TENNESSEE MEDICAL CENTER LLC332925
John Allred
Diagnostic Radiology · Chattanooga, TN
186477
Gary Patterson
Diagnostic Radiology · Nashville, TN
170389
Ephraim Gammada
Internal Medicine · Winchester, TN
135276
Rural/Metro Of Tennessee, L.P.
Ambulance Service Provider · Knoxville, TN
103338
DAMICO, MICHAEL4952
Amanda Seagraves
Physician Assistant · Grove City, OH
4749
Kim Zahnke
Hospitalist · Kingsport, TN
4490
Garth Mcpherson
Diagnostic Radiology · Chattanooga, TN
4370
Anisa Nayeem
Nephrology · Winchester, TN
42106
Wendell Mcabee
Diagnostic Radiology · Manchester, TN
4178
Pathgroup Labs, Llc
Clinical Laboratory · Nashville, TN
3583
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.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.