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PROVIDER PROFILE · NPI 1689674418

Carlos DurhamM.D.

PRACTICEPAIN RESOURCES INCSee all providers at this practice →
AnesthesiologyThe Woodlands, TXI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
Total Rx claims
287
Beneficiaries
—
Total drug cost
$5K
Distinct drugs
7
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
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
234
Unique beneficiaries
—
Total services
391
Distinct HCPCS
7
Medicare payment
$32K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 3,259 Anesthesiology providers in TX — top quintile (cohort median 184).
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
PhysicianPatientsVisits
Mark Egerman
Anesthesiology · The Woodlands, TX
212740
GROGAN'S MILL SURGERY CENTER, LLC209494
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Houston, TX
38105
ST LUKE'S LAKESIDE HOSPITAL, LLC2250
Clinical Pathology Laboratories, Inc.
Clinical Laboratory · Austin, TX
1964
David Cos
Internal Medicine · The Woodlands, TX
13114
Kevin Moran
Orthopedic Surgery · The Woodlands, TX
1247
Deborah Ancona - Schultz
Diagnostic Radiology · Houston, TX
1233
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.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$440
Payment records
7
By payment type
Food and Beverage$440