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

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