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PROVIDER PROFILE · NPI 1053549964

Michael GrimesMD

EndocrinologyCanonsburg, PAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
93.9
Quality
85.0
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.80%
APM Entity
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 390032
Hospital
CCN 390050
Hospital
CCN 390090
Hospital
CCN 390265
Hospital
CCN 390334
Hospital
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$19
Payment records
1
By payment type
Food and Beverage$19
PRESCRIBING · PART D · 2024
Total Rx claims
2,742
Beneficiaries
—
Total drug cost
$1.2M
Distinct drugs
33
Brand share
60.8%
Top prescribed drugs
Levothyroxine Sodium364 claims
Semaglutide289 claims
Metformin Hcl180 claims
Empagliflozin179 claims
Insulin Glargine,hum.Rec.Anlog146 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
329
Unique beneficiaries
—
Total services
433
Distinct HCPCS
7
Medicare payment
$32K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 282 Endocrinology providers in PA — below median (cohort median 794).
REFERRAL NETWORK

Where Michael Grimes'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). 10 inbound referrers · 11 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
WEST PENN ALLEGHENY HEALTH SYSTEM INC.52104
Christopher Bonnet
Clinical Cardiac Electrophysiology · Pittsburgh, PA
3255
Timothy Mickus
Diagnostic Radiology · Pittsburgh, PA
2330
Jeffrey Mueller
Diagnostic Radiology · Pittsburgh, PA
2226
David Epstein
Diagnostic Radiology · Pittsburgh, PA
1521
Robert Moraca
Thoracic Surgery · Pittsburgh, PA
1430
Bibianna Klepchick
Diagnostic Radiology · Pittsburgh, PA
1322
Adrienne Vargo
Diagnostic Radiology · Saint Paul, MN
1215
Mithun Chakravarthy
Interventional Cardiology · Pittsburgh, PA
1114
Stephen Bailey
Thoracic Surgery · Pittsburgh, PA
1133
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
WEST PENN ALLEGHENY HEALTH SYSTEM INC.46122
CANONSBURG GENERAL HOSPITAL2448
UPMC WASHINGTON2391
Christopher Bonnet
Clinical Cardiac Electrophysiology · Pittsburgh, PA
2027
David Epstein
Diagnostic Radiology · Pittsburgh, PA
1617
Timothy Mickus
Diagnostic Radiology · Pittsburgh, PA
1422
Jeffrey Mueller
Diagnostic Radiology · Pittsburgh, PA
1318
Vijaya Sanikommu
Cardiology · Pittsburgh, PA
1326
Subbarao Elapavaluru
Hospitalist · Pittsburgh, PA
1319
Michelle Noschese
Nurse Practitioner · Cranberry Township, PA
1117
Benjamin Susco
Cardiology · Washington, PA
1112
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.