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PROVIDER PROFILE · NPI 1720089592

Karl PierceMD

OphthalmologyAustin, TXI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$195
Payment records
8
By payment type
Food and Beverage$195
QUALITY · MIPS · 2024
Final MIPS score
91.2
Quality
94.5
Cost
77.8
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.68%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
1,263
Beneficiaries
—
Total drug cost
$150K
Distinct drugs
20
Brand share
25.8%
Top prescribed drugs
Timolol Maleate186 claims
Latanoprost170 claims
Ketorolac Tromethamine124 claims
Prednisolone Acetate119 claims
Brimonidine Tartrate114 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,759
Unique beneficiaries
—
Total services
2,039
Distinct HCPCS
13
Medicare payment
$243K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,238 Ophthalmology providers in TX — above median (cohort median 1,864).
REFERRAL NETWORK

Where Karl Pierce'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). 10 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Clinical Pathology Laboratories, Inc.
Clinical Laboratory · Austin, TX
175332
Bailey Square Ambulatory Surgical Center, Ltd
Ambulatory Surgical Center · Austin, TX
164346
Laura Birnbaum
Family Practice · Giddings, TX
39100
ASCENSION SETON1623
Thomas Borgstedte
Family Practice · La Grange, TX
1426
Adam Schneider
Internal Medicine · Austin, TX
1221
Daniel Ladd
Dermatology · Austin, TX
1127
Long Cao
Cardiology · Richmond, TX
1120
SCOTT & WHITE HOSPITAL - ROUND ROCK1117
Meena Hahn
Certified Registered Nurse Anesthetist (CRNA) · Panorama City, CA
1112
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.