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PROVIDER PROFILE · NPI 1760572531

Matthew CarnesMD

GastroenterologyFairhope, ALI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
Total Rx claims
512
Beneficiaries
—
Total drug cost
$34K
Distinct drugs
15
Brand share
35.0%
Top prescribed drugs
Omeprazole86 claims
Sodium, Potassium,mag Sulfates66 claims
Pantoprazole Sodium63 claims
Famotidine49 claims
Dicyclomine Hcl49 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$2K
Payment records
70
By payment type
Food and Beverage$2K
Top paying entities
Food and Beverage$2K
REFERRAL NETWORK

Where Matthew Carnes'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). 11 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Shane Wear
Diagnostic Radiology · Hoover, AL
2199
Charles Lichty
Internal Medicine · Birmingham, AL
1953
Adam Summerlin
Diagnostic Radiology · Jackson, TN
1370
Richard Mcglaughlin
Gastroenterology · Bessemer, AL
1230
James Parks
Cardiology · Birmingham, AL
1247
Jill Rutherford
Diagnostic Radiology · Birmingham, AL
1216
Albert Gore
Emergency Medicine · Birmingham, AL
1237
Craig Rich
Internal Medicine · Birmingham, AL
11114
Robert Kachelhofer
Diagnostic Radiology · Birmingham, AL
1116
Michael Han
Internal Medicine · Birmingham, AL
1133
Mark Trankina
Anesthesiology · Birmingham, AL
1122
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
269
Unique beneficiaries
—
Total services
299
Distinct HCPCS
8
Medicare payment
$28K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 163 Gastroenterology providers in AL — bottom quintile (cohort median 808).