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PROVIDER PROFILE · NPI 1114942794

Kevin GrumbachMD

Family PracticeSan Francisco, CAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
97.3
Quality
89.9
Cost
78.2
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.94%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 050228
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
87
Unique beneficiaries
—
Total services
139
Distinct HCPCS
3
Medicare payment
$12K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 8,228 Family Practice providers in CA — below median (cohort median 411).
REFERRAL NETWORK

Where Kevin Grumbach'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 · 5 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
CITY & COUNTY OF SAN FRANCISCO64234
Terry Lynch
Diagnostic Radiology · San Francisco, CA
2844
Thienkhai Vu
Diagnostic Radiology · San Francisco, CA
1632
NPI 12058819681424
Claudia Mooney
Family Practice · San Francisco, CA
1318
Jordan Chase
Family Practice · San Francisco, CA
1128
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
CITY & COUNTY OF SAN FRANCISCO70337
Terry Lynch
Diagnostic Radiology · San Francisco, CA
2236
NPI 12058819681525
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO1589
Thienkhai Vu
Diagnostic Radiology · San Francisco, CA
1327
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.
PRESCRIBING · PART D · 2024
Total Rx claims
650
Beneficiaries
—
Total drug cost
$69K
Distinct drugs
36
Brand share
27.1%
Top prescribed drugs
Atorvastatin Calcium53 claims
Amlodipine Besylate39 claims
Metformin Hcl36 claims
Tamsulosin Hcl31 claims
Omeprazole29 claims