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PROVIDER PROFILE · NPI 1699705228

David CarltonMD

Allergy/ ImmunologyRome, GAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
803
Unique beneficiaries
—
Total services
19,225
Distinct HCPCS
14
Medicare payment
$466K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 83 Allergy/ Immunology providers in GA — top quintile (cohort median 4,754).
PRESCRIBING · PART D · 2024
Total Rx claims
3,044
Beneficiaries
—
Total drug cost
$1.5M
Distinct drugs
47
Brand share
41.2%
Top prescribed drugs
Montelukast Sodium342 claims
Azelastine Hcl318 claims
Levocetirizine Dihydrochloride199 claims
Albuterol Sulfate167 claims
Prednisone143 claims
QUALITY · MIPS · 2024
Final MIPS score
75.0
Quality
0.0
Cost
52.8
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
0.00%
Individual
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$3K
Payment records
100
By payment type
Food and Beverage$3K
REFERRAL NETWORK

Where David Carlton'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). 17 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
FLOYD HEALTHCARE MANAGEMENT INC112699
REDMOND PARK HOSPITAL, LLC37122
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
3090
Michael Kizziah
Diagnostic Radiology · Rome, GA
2467
James Moseley
Diagnostic Radiology · Rome, GA
2250
Kevin Phillips
Diagnostic Radiology · Rome, GA
2161
James Ware
Cardiology · Rome, GA
1641
Joseph Burch
Diagnostic Radiology · Rome, GA
1534
PRUETT, STEVEN1432
Sackdinanh Keomahathai
Physical Medicine and Rehabilitation · Cartersville, GA
1389
Forrest Schrum
Urology · Rome, GA
13125
Raymond Howard
Otolaryngology · Rome, GA
1348
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.