PROVIDER PROFILE · NPI 1891706917

Carl ShealyMD

PRACTICELEXINGTON COUNTY HEALTH SERVSee all providers at this practice →

Family PracticeLexington, SCI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

2,098

Unique beneficiaries

—

Total services

3,090

Distinct HCPCS

Medicare payment

$152K

Peer benchmark

Total Medicare services vs. 1,484 Family Practice providers in SC — top quintile (cohort median 1,121).

PRESCRIBING · PART D · 2024

Total Rx claims

9,117

Beneficiaries

—

Total drug cost

$723K

Distinct drugs

139

Brand share

21.9%

Top prescribed drugs

Amlodipine Besylate394 claims

Atorvastatin Calcium388 claims

Levothyroxine Sodium388 claims

Metoprolol Succinate291 claims

Omeprazole258 claims

QUALITY · MIPS · 2024

Final MIPS score

84.1

Quality

68.9

Cost

78.1

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.38%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$21

Payment records

By payment type

Food and Beverage$21

REFERRAL NETWORK

Where Carl Shealy'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). 14 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
LEXINGTON COUNTY HEALTH SERVICES DISTRICT INC	302	1,144
LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.	30	57
Lexington County Ems Ambulance Service Provider · Lexington, SC	25	60
Joshua Mccain Diagnostic Radiology · Rockford, IL	21	35
Nicholas Mayes Diagnostic Radiology · West Columbia, SC	17	30
Kelley Womack Physician Assistant · Lexington, SC	17	46
Clarence Coker Family Practice · Lexington, SC	16	35
Beth Siroty-Smith Diagnostic Radiology · West Columbia, SC	14	31
PROVIDENCE HOSPITAL, LLC	14	34
Leslie West Family Practice · Lexington, SC	12	43
Ariel Pertile Diagnostic Radiology · West Columbia, SC	12	23
Edwin Pia Diagnostic Radiology · West Columbia, SC	11	22

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