What is Carlos Durham's specialty?

Carlos Durham (NPI 1689674418) is a Medicare-billing provider whose primary specialty is Anesthesiology in The Woodlands, TX.

Where does Carlos Durham practice?

Carlos Durham practices in The Woodlands, TX, based on the location reported in the CMS Medicare provider datasets for NPI 1689674418.

How much does Medicare pay Carlos Durham?

Carlos Durham (NPI 1689674418) received approximately $38K in total Medicare Part B payments, serving 96 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1689674418

Carlos DurhamM.D.

PRACTICEPAIN RESOURCES INCSee all providers at this practice →

AnesthesiologyThe Woodlands, TXI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

234

Unique beneficiaries

—

Total services

391

Distinct HCPCS

Medicare payment

$32K

Peer benchmark

Total Medicare services vs. 3,259 Anesthesiology providers in TX — top quintile (cohort median 184).

PRESCRIBING · PART D · 2024

Total Rx claims

287

Beneficiaries

—

Total drug cost

$5K

Distinct drugs

Brand share

41.1%

Top prescribed drugs

Hydrocodone/Acetaminophen85 claims

Tizanidine Hcl50 claims

Tramadol Hcl45 claims

Methylprednisolone37 claims

Oxycodone Hcl/Acetaminophen33 claims

QUALITY · MIPS · 2024

Final MIPS score

33.2

Quality

21.9

Cost

70.6

Improvement activities

0.0

Promoting interop.

0.0

Payment adjustment

-5.01%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$440

Payment records

By payment type

Food and Beverage$440

Top paying entities

Food and Beverage$440

REFERRAL NETWORK

Where Carlos Durham'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). 8 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Mark Egerman Anesthesiology · The Woodlands, TX	212	740
GROGAN'S MILL SURGERY CENTER, LLC	209	494
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Houston, TX	38	105
ST LUKE'S LAKESIDE HOSPITAL, LLC	22	50
Clinical Pathology Laboratories, Inc. Clinical Laboratory · Austin, TX	19	64
David Cos Internal Medicine · The Woodlands, TX	13	114
Kevin Moran Orthopedic Surgery · The Woodlands, TX	12	47
Deborah Ancona - Schultz Diagnostic Radiology · Houston, TX	12	33

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