PROVIDER PROFILE · NPI 1760466163

Carl ValentineMD

CardiologyCharlottesville, VAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

888

Unique beneficiaries

—

Total services

1,119

Distinct HCPCS

Medicare payment

$54K

Peer benchmark

Total Medicare services vs. 448 Cardiology providers in VA — bottom quintile (cohort median 2,874).

PRESCRIBING · PART D · 2024

Total Rx claims

2,949

Beneficiaries

—

Total drug cost

$623K

Distinct drugs

Brand share

19.9%

Top prescribed drugs

Rosuvastatin Calcium689 claims

Apixaban261 claims

Ezetimibe259 claims

Metoprolol Succinate253 claims

Losartan Potassium206 claims

QUALITY · MIPS · 2024

Final MIPS score

86.5

Quality

79.8

Cost

75.1

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.48%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Carl Valentine'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). 105 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Matthew Sackett Clinical Cardiac Electrophysiology · Lynchburg, VA	173	737
Sean Higginson Diagnostic Radiology · Fishersville, VA	163	322
Edward Bonyak Cardiology · Kilmarnock, VA	122	422
Cardionet, Llc. Independent Diagnostic Testing Facility (IDTF) · Pleasanton, CA	112	267
James Warner Cardiology · Lynchburg, VA	104	345
Daniel Schepens Diagnostic Radiology · Roanoke, VA	102	225
NEWTON, RICHARD	101	250
Carl Moore Cardiology · Lynchburg, VA	95	283
Eric Kline Diagnostic Radiology · Lynchburg, VA	95	269
Jesse Naples Physician Assistant · Lynchburg, VA	94	491
TOMLIN, MATTHEW	81	200
Chad Hoyt Cardiology · Charlottesville, VA	81	236

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

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history