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PROVIDER PROFILE · NPI 1942225347

Carl HellerM.D.

Family PracticeKingwood, TXI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
Total Rx claims
323
Beneficiaries
—
Total drug cost
$16K
Distinct drugs
18
Brand share
26.9%
Top prescribed drugs
Hydrocodone/Acetaminophen46 claims
Losartan Potassium29 claims
Atorvastatin Calcium27 claims
Lisinopril22 claims
Hydrochlorothiazide21 claims
REFERRAL NETWORK

Where Carl Heller'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). 6 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Clinical Pathology Laboratories, Inc.
Clinical Laboratory · Austin, TX
159264
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Houston, TX
3468
NPI 137656873334109
David Carpenter
Family Practice · Humble, TX
1943
MEMORIAL HERMANN HEALTH SYSTEM1426
Dang Pham
Diagnostic Radiology · Houston, TX
1114
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
94
Unique beneficiaries
—
Total services
112
Distinct HCPCS
4
Medicare payment
$5K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 6,385 Family Practice providers in TX — below median (cohort median 567).
QUALITY · MIPS · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$177
Payment records
9
By payment type
Food and Beverage$177