What is Carl Gauthier's specialty?

Carl Gauthier (NPI 1649460239) is a Medicare-billing provider whose primary specialty is Rheumatology in Hammond, LA.

Where does Carl Gauthier practice?

Carl Gauthier practices in Hammond, LA, based on the location reported in the CMS Medicare provider datasets for NPI 1649460239.

How much does Medicare pay Carl Gauthier?

Carl Gauthier (NPI 1649460239) received approximately $60K in total Medicare Part B payments, serving 365 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1649460239

Carl GauthierM.D.

RheumatologyHammond, LAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

724

Unique beneficiaries

—

Total services

1,394

Distinct HCPCS

Medicare payment

$60K

Peer benchmark

Total Medicare services vs. 61 Rheumatology providers in LA — below median (cohort median 2,426).

PRESCRIBING · PART D · 2024

Total Rx claims

15,130

Beneficiaries

—

Total drug cost

$8.6M

Distinct drugs

Brand share

30.4%

Top prescribed drugs

Hydrocodone/Acetaminophen1,296 claims

Hydroxychloroquine Sulfate1,290 claims

Tramadol Hcl1,158 claims

Oxycodone Hcl/Acetaminophen1,104 claims

Prednisone838 claims

QUALITY · MIPS · 2024

Final MIPS score

84.4

Quality

74.3

Cost

68.2

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.39%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$21K

Payment records

By payment type

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$19K

Food and Beverage$2K

Top paying entities

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$19K

Food and Beverage$2K

REFERRAL NETWORK

Where Carl Gauthier'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). 32 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
NORTH OAKS MEDICAL CENTER, LLC	390	1,750
SMITH, ROBERT	122	377
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Houston, TX	85	196
John Miller Diagnostic Radiology · Hammond, LA	64	173
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	55	128
Acadian Ambulance Service, Inc. Ambulance Service Provider · Lafayette, LA	35	77
WILLIAMS, STEPHEN	35	82
Socrates Zapata-Campusano Neurology · Hammond, LA	26	97
HOSPITAL SERVICE DISTRICT 2 OF THE PARISH OF TANGIPAHOA STATE OF LA.	23	46
Susan Zacharia Internal Medicine · Hammond, LA	23	139
EAST BATON ROUGE MEDICAL CENTER LLC	22	81
Daniel Dodson Ophthalmology · Hammond, LA	18	37

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