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PROVIDER PROFILE · NPI 1669636809

Caroline ArthurM.D.

General SurgeryFairfax, VAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$32
Payment records
1
By payment type
Food and Beverage$32
Top paying entities
Food and Beverage$32
QUALITY · MIPS · 2024
Final MIPS score
87.3
Quality
81.3
Cost
76.4
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.52%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
223
Beneficiaries
—
Total drug cost
$4K
Distinct drugs
4
Brand share
6.3%
Top prescribed drugs
Celecoxib89 claims
Mupirocin87 claims
Oxycodone Hcl33 claims
Apixaban14 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
97
Unique beneficiaries
—
Total services
100
Distinct HCPCS
4
Medicare payment
$12K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 538 General Surgery providers in VA — below median (cohort median 316).
REFERRAL NETWORK

Where Caroline Arthur'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). 30 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
INOVA HEALTH CARE SERVICES56132
Director Of Finance-County Of Fairfax Va
Ambulance Service Provider · Fairfax, VA
4677
Timothy Shaver
General Surgery · Reston, VA
4587
Brendan Waters
Diagnostic Radiology · Woodbridge, VA
4369
Kinda Venner-Jones
Cardiology · Woodbridge, VA
3058
MEDICAL TRANSPORTATION SERVICES, LLC2645
SWEDO, GREGORY2442
David Park
Cardiology · Alexandria, VA
2354
BAPNA, MITALI2226
Tammy Lamb
Diagnostic Radiology · Springfield, VA
2233
Quest Diagnostics Incorporated Md
Clinical Laboratory · Baltimore, MD
1956
ARTILES, CARLOS1934
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.