PROVIDER PROFILE · NPI 1659304707

Carlos SesinM.D.

PRACTICECARLOS A. SESIN, MD, PASee all providers at this practice →

RheumatologyMiami Beach, FLI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,663

Unique beneficiaries

—

Total services

28,530

Distinct HCPCS

Medicare payment

$721K

Peer benchmark

Total Medicare services vs. 351 Rheumatology providers in FL — above median (cohort median 20,723).

PRESCRIBING · PART D · 2024

Total Rx claims

2,987

Beneficiaries

—

Total drug cost

$2.9M

Distinct drugs

Brand share

40.3%

Top prescribed drugs

Prednisone541 claims

Denosumab388 claims

Alendronate Sodium319 claims

Methotrexate Sodium316 claims

Folic Acid119 claims

QUALITY · MIPS · 2024

Final MIPS score

90.2

Quality

80.4

Cost

0.0

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.64%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$44K

Payment records

224

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$35K

Food and Beverage$6K

Travel and Lodging$3K

Education$39

REFERRAL NETWORK

Where Carlos Sesin'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). 23 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Laboratory Corporation Of America Clinical Laboratory · Tampa, FL	112	255
Chetan Rajadhyaksha Diagnostic Radiology · Miami, FL	49	89
Agustin Andrade Specialist · Miami Beach, FL	32	61
Daniel Rivlin Dermatology · Miami Beach, FL	30	48
POOLE, TAYLOR	20	47
Lawrence Ciment Pulmonary Disease · Miami Beach, FL	20	47
Michelle Detweiler Podiatry · Doral, FL	19	46
William Burke Diagnostic Radiology · New York, NY	18	29
Brian Katz Dermatology · Miami Beach, FL	17	36
Antonio Fernandez Internal Medicine · Miami Beach, FL	17	50
Katrina Rabinovich Diagnostic Radiology · Miami Beach, FL	17	24
Raimundo Acosta Cardiology · Miami Beach, FL	16	60

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