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PROVIDER PROFILE · NPI 1801904388

Lee CarterMD

PRACTICELEE F CARTER MD INCSee all providers at this practice →
CardiologyNewport Beach, CAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,023
Unique beneficiaries
—
Total services
1,606
Distinct HCPCS
17
Medicare payment
$104K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,869 Cardiology providers in CA — below median (cohort median 2,371).
PRESCRIBING · PART D · 2024
Total Rx claims
1,320
Beneficiaries
—
Total drug cost
$391K
Distinct drugs
32
Brand share
35.9%
Top prescribed drugs
Apixaban143 claims
Atorvastatin Calcium127 claims
Rosuvastatin Calcium126 claims
Evolocumab107 claims
Metoprolol Succinate91 claims
REFERRAL NETWORK

Where Lee Carter'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). 44 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Unilab Corporation
Clinical Laboratory · West Hills, CA
115505
Mahnaz Behboodikhah
Cardiology · Newport Beach, CA
95563
Winston Whitney
Diagnostic Radiology · Newport Beach, CA
40163
Shaya Ghazinoor
Diagnostic Radiology · Newport Beach, CA
39262
William Vandalsem
Diagnostic Radiology · Newport Beach, CA
38266
John Lieu
Diagnostic Radiology · Palo Alto, CA
37110
Scott Williams
Diagnostic Radiology · Stanford, CA
31128
Frederick Birnberg
Diagnostic Radiology · Newport Beach, CA
31192
Peter Giuliano
Diagnostic Radiology · Newport Beach, CA
31148
Richard Harano
Internal Medicine · Newport Beach, CA
26104
Karence Chan
Diagnostic Radiology · Newport Beach, CA
25225
HARRIS HISTOLOGY SERVICES2149
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.
QUALITY · MIPS · 2024
Final MIPS score
75.0
Quality
0.0
Cost
0.0
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
0.00%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$1K
Payment records
39
By payment type
Food and Beverage$1K