PROVIDER PROFILE · NPI 1689614737

David MclainM.D.

PRACTICEMCLAIN MEDICAL ASSOCIATES PCSee all providers at this practice →

RheumatologyBirmingham, ALI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,036

Unique beneficiaries

—

Total services

7,886

Distinct HCPCS

Medicare payment

$202K

Peer benchmark

Total Medicare services vs. 73 Rheumatology providers in AL — above median (cohort median 5,906).

PRESCRIBING · PART D · 2024

Total Rx claims

23,089

Beneficiaries

—

Total drug cost

$5.8M

Distinct drugs

177

Brand share

25.0%

Top prescribed drugs

Hydroxychloroquine Sulfate2,529 claims

Hydrocodone/Acetaminophen2,063 claims

Oxycodone Hcl/Acetaminophen1,014 claims

Tizanidine Hcl952 claims

Gabapentin894 claims

QUALITY · MIPS · 2024

Final MIPS score

99.6

Quality

100.0

Cost

93.2

Improvement activities

40.0

Promoting interop.

98.0

Payment adjustment

1.04%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$187K

Payment records

225

By payment type

Grant$181K

Food and Beverage$5K

Education$19

REFERRAL NETWORK

Where David Mclain'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). 12 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	350	744
RHEUMATOLOGY DIAGNOSTICS LABORATORY INC	73	169
UNIVERSITY OF ALABAMA AT BIRMINGHAM	33	64
SOLSTAS LAB PARTNERS GROUP LLC	23	56
Luigi Bertoli Hematology-Oncology · Birmingham, AL	20	48
Diane Counce Neurology · Birmingham, AL	19	31
Millennium Health, Llc Clinical Laboratory · San Diego, CA	17	40
THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON	16	18
AFFINITY HOSPITAL LLC	14	20
BAPTIST HEALTH SYSTEM, INC	13	20
Fred Mcleod Otolaryngology · Alexander City, AL	12	62
NPI 1386633857	11	29

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