What is Carl Shealy's specialty?

Carl Shealy (NPI 1891706917) is a Medicare-billing provider whose primary specialty is Family Practice in Lexington, SC.

Where does Carl Shealy practice?

Carl Shealy practices in Lexington, SC, based on the location reported in the CMS Medicare provider datasets for NPI 1891706917.

How much does Medicare pay Carl Shealy?

Carl Shealy (NPI 1891706917) received approximately $159K in total Medicare Part B payments, serving 499 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

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

Top paying entities

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