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PROVIDER PROFILE · NPI 1144211541

Edward GrimballMD

PRACTICECUMBERLAND OTOLARYNGOLOGY CONSULTANTS, PSCSee all providers at this practice →
Emergency MedicineSomerset, KYI
CROSS-REFERENCE

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ProviderScore
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 180132
Hospital
CCN 181328
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
475
Beneficiaries
—
Total drug cost
$3K
Distinct drugs
15
Brand share
29.7%
Top prescribed drugs
Hydrocodone/Acetaminophen98 claims
Prednisone76 claims
Diclofenac Sodium54 claims
Prochlorperazine Maleate32 claims
Ondansetron28 claims
QUALITY · MIPS · 2024
Final MIPS score
75.0
Quality
0.0
Cost
73.9
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
0.00%
Individual
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
827
Unique beneficiaries
—
Total services
891
Distinct HCPCS
6
Medicare payment
$74K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 619 Emergency Medicine providers in KY — top quintile (cohort median 383).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Edward Grimball'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). 62 inbound referrers · 143 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Steven Eberly
Diagnostic Radiology · Somerset, KY
1561,212
William Baker
Diagnostic Radiology · Somerset, KY
1551,116
Debra Eadens
Internal Medicine · Somerset, KY
115964
LAKE CUMBERLAND REGIONAL HOSPITAL LLC97197
Misty Cundiff
Nurse Practitioner · Monticello, KY
82310
Timothy Ziolkowski
Emergency Medicine · Louisville, KY
63294
Mohammad Yusuf
Emergency Medicine · London, KY
61245
Kolan Wright
Family Practice · Albuquerque, NM
59370
LIFELINE HOME HEALTH CARE OF SOMERSET, LLC59337
Sandra Schuldheisz
Pulmonary Disease · Somerset, KY
57325
Joseph Weigel
Internal Medicine · Somerset, KY
52132
Michael Mckinney
Cardiology · Somerset, KY
49245
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
LAKE CUMBERLAND REGIONAL HOSPITAL LLC8092,790
Paul Wooldridge
Diagnostic Radiology · Knoxville, TN
3531,290
William Baker
Diagnostic Radiology · Somerset, KY
3011,136
Robert Morgan
Diagnostic Radiology · Gainesville, GA
2991,393
City Of Somerset
Ambulance Service Provider · Somerset, KY
2901,678
Steven Eberly
Diagnostic Radiology · Somerset, KY
2841,280
Laboratory Corporation Of America Holdings
Clinical Laboratory · Dublin, OH
166413
Ibraiz Iqbal
Cardiology · Somerset, KY
153529
AVUTOX, LLC138289
Ashwini Anand
Cardiology · London, KY
135408
Debra Eadens
Internal Medicine · Somerset, KY
1261,077
LAKE CUMBERLAND REGIONAL HOSPITAL LLC107193
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.