PROVIDER PROFILE · NPI 1265606644

Betsy GrunchMD

PRACTICESPECIALTY ORTHOPAEDICS, PCSee all providers at this practice →

NeurosurgeryGainesville, GAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,093

Unique beneficiaries

—

Total services

2,035

Distinct HCPCS

Medicare payment

$205K

Peer benchmark

Total Medicare services vs. 134 Neurosurgery providers in GA — top quintile (cohort median 431).

PRESCRIBING · PART D · 2024

Total Rx claims

758

Beneficiaries

—

Total drug cost

$7K

Distinct drugs

Brand share

26.6%

Top prescribed drugs

Oxycodone Hcl/Acetaminophen135 claims

Oxycodone Hcl103 claims

Gabapentin80 claims

Cyclobenzaprine Hcl79 claims

Methocarbamol75 claims

QUALITY · MIPS · 2024

Final MIPS score

89.1

Quality

87.6

Cost

76.1

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.59%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$277K

Payment records

250

By payment type

Consulting Fee$115K

Royalty or License$91K

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$30K

Travel and Lodging$20K

Compensation for serving as faculty or as a speaker for a medical education program$12K

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (6)

Home health agency

Hospital

Hospital

Hospital

Hospital

Nursing home

REFERRAL NETWORK

Where Betsy Grunch'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). 18 inbound referrers · 44 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
NORTHEAST GEORGIA MEDICAL CENTER, INC.	181	788
Erica Abney Physician Assistant · Tuscaloosa, AL	104	301
Matthew Scott Diagnostic Radiology · Macon, GA	46	200
Richard Cory Diagnostic Radiology · Gainesville, GA	44	179
Lee Martin Diagnostic Radiology · Gainesville, GA	43	139
Robert Balotin Diagnostic Radiology · Gainesville, GA	42	157
Ajay Ravi Diagnostic Radiology · Gainesville, GA	40	162
HOOPER, TREVOR	38	149
Scott Stephen Diagnostic Radiology · Gainesville, GA	32	114
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	23	61
Gainesville Pain Surgery Center Llc Ambulatory Surgical Center · Gainesville, GA	21	51
PROFESSIONAL THERAPY SERVICES, LLC	17	34

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
NORTHEAST GEORGIA MEDICAL CENTER, INC.	203	978
Erica Abney Physician Assistant · Tuscaloosa, AL	82	289
Colby Chastain Diagnostic Radiology · Gainesville, GA	54	175
Brett Baudin Diagnostic Radiology · Gainesville, GA	45	107
NPI 1558304709	39	120
Shaan Shah Diagnostic Radiology · Gainseville, GA	38	133
Steven Black Diagnostic Radiology · Gainesville, GA	37	122
David Carroll Diagnostic Radiology · Gainesville, GA	35	115
Ajay Ravi Diagnostic Radiology · Gainesville, GA	35	120
HOOPER, TREVOR	35	154
Matthew Scott Diagnostic Radiology · Macon, GA	34	86
Robert Balotin Diagnostic Radiology · Gainesville, GA	34	85

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history