What is Carlos Falcon's specialty?

Carlos Falcon (NPI 1619959277) is a Medicare-billing provider whose primary specialty is Emergency Medicine in West Burlington, IA.

Where does Carlos Falcon practice?

Carlos Falcon practices in West Burlington, IA, based on the location reported in the CMS Medicare provider datasets for NPI 1619959277.

How much does Medicare pay Carlos Falcon?

Carlos Falcon (NPI 1619959277) received approximately $44K in total Medicare Part B payments, serving 364 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

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 · 2025

Total received

$68

Payment records

By payment type

Food and Beverage$68

Top paying entities

Food and Beverage$68

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

Healthparse Signals

Monitor this provider for changes — dated NPI change events