PROVIDER PROFILE · NPI 1619959277

Carlos FalconMD

PRACTICENUPATH, PCSee all providers at this practice →

Emergency MedicineWest Burlington, IAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

362

Unique beneficiaries

—

Total services

376

Distinct HCPCS

Medicare payment

$39K

Peer benchmark

Total Medicare services vs. 334 Emergency Medicine providers in IA — above median (cohort median 314).

PRESCRIBING · PART D · 2024

Total Rx claims

176

Beneficiaries

—

Total drug cost

$2K

Distinct drugs

Brand share

38.1%

Top prescribed drugs

Prednisone45 claims

Ciprofloxacin Hcl35 claims

Hydrocodone/Acetaminophen28 claims

Progesterone, Micronized25 claims

Cyclobenzaprine Hcl17 claims

QUALITY · MIPS · 2024

Final MIPS score

77.1

Quality

64.4

Cost

75.0

Improvement activities

40.0

Promoting interop.

81.0

Payment adjustment

0.09%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Carlos Falcon'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). 29 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
SOUTHEAST IOWA REGIONAL MEDICAL CENTER, INC.	491	1,929
Matthew Hoffman Diagnostic Radiology · Mount Pleasant, IA	124	234
Arjun Sobti Interventional Radiology · Hampton, VA	115	234
MURPHY, STEPHEN	111	241
City Of Burlington Ambulance Service Provider · Burlington, IA	108	252
Anthony Lazar Internal Medicine · West Burlington, IA	89	159
Walid Saad Interventional Cardiology · Murfreesboro, TN	82	130
Mark Woodard Internal Medicine · West Burlington, IA	62	128
Steven Davis Diagnostic Radiology · Mt Pleasant, IA	61	103
Raymond Harre Diagnostic Radiology · Davenport, IA	50	82
STATE UNIVERSITY OF IOWA	44	103
Arnaldo Laus Internal Medicine · Reno, NV	42	74

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