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PROVIDER PROFILE · NPI 1194916213

Giriraj GuptaM.D.

Orthopedic SurgeryManchester, KYI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 180011
Hospital
CCN 180043
Hospital
CCN 180080
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
161
Beneficiaries
—
Total drug cost
$4K
Distinct drugs
4
Brand share
55.9%
Top prescribed drugs
Hydrocodone/Acetaminophen90 claims
Mupirocin30 claims
Enoxaparin Sodium22 claims
Cephalexin19 claims
REFERRAL NETWORK

Where Giriraj Gupta'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). 4 inbound referrers · 9 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Lokesh Khanna
Diagnostic Radiology · San Antonio, TX
55258
JACKSON HOSPITAL CORPORATION33144
George Burnette
Family Practice · Jackson, KY
21201
Betty Sizemore
Nurse Practitioner · Manchester, KY
1277
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
MEMORIAL HOSPITAL, INC.83607
JACKSON HOSPITAL CORPORATION46229
BLOUNT, CYNTHIA40167
Lokesh Khanna
Diagnostic Radiology · San Antonio, TX
28107
Laboratory Corporation Of America Holdings
Clinical Laboratory · Dublin, OH
2183
APPALACHIAN REGIONAL HEALTHCARE, INC.1978
George Burnette
Family Practice · Jackson, KY
19177
Rajesh Gogia
Diagnostic Radiology · Arlington, TX
1133
AARON K. JONAN MEMORIAL CLINIC INC.1129
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
11
Unique beneficiaries
—
Total services
12
Distinct HCPCS
1
Medicare payment
$1K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 309 Orthopedic Surgery providers in KY — bottom quintile (cohort median 1,474).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$183
Payment records
9
By payment type
Food and Beverage$183
QUALITY · MIPS · 2024
Final MIPS score
98.6
Quality
81.1
Cost
81.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.99%
Group