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PROVIDER PROFILE · NPI 1689767212

Timothy WhelanMD

PRACTICEMUSCSee all providers at this practice →
Pulmonary DiseaseCharleston, SCI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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REFERRAL NETWORK

Where Timothy Whelan'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). 29 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
MEDICAL UNIVERSITY HOSPITAL AUTHORITY2273,879
John Huggins
Pulmonary Disease · Charleston, SC
81407
MOHR, LAWRENCE64368
James Ravenel
Diagnostic Radiology · Charleston, SC
59403
Richard Rissmiller
Pulmonary Disease · Charleston, SC
36170
Philip Costello
Diagnostic Radiology · Charleston, SC
32162
Rahul Argula
Pulmonary Disease · Charleston, SC
30223
Chitra Lal
Pulmonary Disease · Salt Lake City, UT
30127
NPI 145746930627107
Stephen Schabel
Diagnostic Radiology · Charleston, SC
26155
Alice Boylan
Pulmonary Disease · Charleston, SC
24103
Michael Davis
Diagnostic Radiology · West Columbia, SC
21102
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
395
Unique beneficiaries
—
Total services
512
Distinct HCPCS
8
Medicare payment
$23K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 159 Pulmonary Disease providers in SC — below median (cohort median 1,085).
PRESCRIBING · PART D · 2024
Total Rx claims
670
Beneficiaries
—
Total drug cost
$1.6M
Distinct drugs
27
Brand share
28.8%
Top prescribed drugs
Nintedanib Esylate111 claims
Pirfenidone49 claims
Prednisone47 claims
Sulfamethoxazole/Trimethoprim43 claims
Azithromycin35 claims
QUALITY · MIPS · 2024
Final MIPS score
79.0
Quality
62.4
Cost
72.7
Improvement activities
40.0
Promoting interop.
99.0
Payment adjustment
0.17%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$10K
Payment records
8
By payment type
Consulting Fee$8K
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$2K
Travel and Lodging$140
Food and Beverage$35