PROVIDER PROFILE · NPI 1700014016
Mark QualeM.D.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
248
Unique beneficiaries
—
Total services
253
Distinct HCPCS
4
Medicare payment
$20K
Peer benchmark
Total Medicare services vs. 1,499 Emergency Medicine providers in NC — below median (cohort median 350).
PRESCRIBING · PART D · 2024
Total Rx claims
42
Beneficiaries
—
Total drug cost
$260
Distinct drugs
3
Brand share
66.7%
Top prescribed drugs
QUALITY · MIPS · 2024
Final MIPS score
75.0
Quality
14.3
Cost
88.7
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.00%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK
Where Mark Quale'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). 47 inbound referrers · 0 outbound destinations.
Receives referrals from
Inbound — who sends patients here
| Physician | Patients | Visits |
|---|---|---|
| ALAMANCE REGIONAL MEDICAL CENTER, INC. | 431 | 990 |
| Sital Mody Internal Medicine · Raleigh, NC | 39 | 63 |
| JORDAN, DAVID | 37 | 64 |
| John Woodruff Emergency Medicine · Atlanta, GA | 34 | 76 |
| Mark Lukens Diagnostic Radiology · Greensboro, NC | 31 | 51 |
| Mark Boles Diagnostic Radiology · Greensboro, NC | 31 | 46 |
| James Green Diagnostic Radiology · Greensboro, NC | 28 | 43 |
| Qing Chen Hospitalist · Fayetteville, NC | 27 | 44 |
| Herbon Fleming Pulmonary Disease · Burlington, NC | 26 | 61 |
| Hetal Patel Diagnostic Radiology · Greensboro, NC | 26 | 37 |
| Robert Kinner Emergency Medicine · Winston Salem, NC | 24 | 51 |
| CHANG, JEFFREY | 23 | 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