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PROVIDER PROFILE · NPI 1255422887

Jay GriderDO, PHD

Pain ManagementLexington, KYI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
85.8
Quality
68.3
Cost
72.4
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.45%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$1K
Payment records
15
By payment type
Food and Beverage$1K
Top paying entities
Food and Beverage$1K
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 180067
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
694
Beneficiaries
—
Total drug cost
$98K
Distinct drugs
12
Brand share
88.2%
Top prescribed drugs
Varicella-Zoster Ge/As01b/Pf174 claims
Rsvpref3 Antigen/As01e/Pf173 claims
Diphth,pertuss(Acell),tet Vac153 claims
Oxycodone Hcl/Acetaminophen32 claims
Hydrocodone/Acetaminophen31 claims
REFERRAL NETWORK

Where Jay Grider'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). 2 inbound referrers · 8 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
New Lexington Clinic, Psc
Clinical Laboratory · Lexington, KY
1373
Justin Montgomery
Diagnostic Radiology · Lexington, KY
1225
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
UNIVERSITY OF KENTUCKY2472,151
Jennifer Yates
Nurse Practitioner · Lexington, KY
1640
BAPTIST HEALTHCARE SYSTEM, INC1572
Laboratory Corporation Of America Holdings
Clinical Laboratory · Dublin, OH
1493
SAINT JOSEPH HEALTH SYSTEM, INC1337
Gustav Blomquist
Diagnostic Radiology · Huntington, WV
1237
New Lexington Clinic, Psc
Clinical Laboratory · Lexington, KY
1257
KUO, CHIEN-SUU1126
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
75
Unique beneficiaries
—
Total services
121
Distinct HCPCS
3
Medicare payment
$8K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 49 Pain Management providers in KY — bottom quintile (cohort median 3,510).