PROVIDER PROFILE · NPI 1902898562

Carl FoulksM.D.

PRACTICENOVANT HEALTH MEDICAL GROUP, LLCSee all providers at this practice →

GastroenterologyColumbia, SCI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

453

Unique beneficiaries

—

Total services

478

Distinct HCPCS

Medicare payment

$43K

Peer benchmark

Total Medicare services vs. 205 Gastroenterology providers in SC — below median (cohort median 867).

PRESCRIBING · PART D · 2024

Total Rx claims

628

Beneficiaries

—

Total drug cost

$245K

Distinct drugs

Brand share

51.0%

Top prescribed drugs

Sodium, Potassium,mag Sulfates154 claims

Pantoprazole Sodium81 claims

Omeprazole58 claims

Sod Picosulf/Mag Ox/Citric Ac57 claims

Linaclotide43 claims

QUALITY · MIPS · 2024

Final MIPS score

88.1

Quality

73.9

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.55%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$691

Payment records

By payment type

Food and Beverage$691

REFERRAL NETWORK

Where Carl Foulks'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

Physician	Patients	Visits
IREDELL MEMORIAL HOSPITAL, INCORPORATED	260	761
Thomas Gaston Diagnostic Radiology · Statesville, NC	118	423
Piedmont Healthcare, Pa Ambulatory Surgical Center · Statesville, NC	84	103
Piedmont Pathology Associates Inc Clinical Laboratory · Hickory, NC	68	101
STATESVILLE HMA LLC	66	160
Ted Vance Anesthesiology · Statesville, NC	48	122
Anthony Meluch Anesthesiology · Statesville, NC	41	80
Justin Upp Anesthesiology · Statesville, NC	39	101
Jose Perez Pulmonary Disease · Statesville, NC	31	76
Ahmed Elnaggar Pulmonary Disease · Statesville, NC	31	78
Dawn Cozart Certified Registered Nurse Anesthetist (CRNA) · Statesville, NC	29	99
VOORHEES, KAREN	28	37

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