PROVIDER PROFILE · NPI 1275737165

Ian GrimesM.D.

GastroenterologyMadison, WII

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

342

Unique beneficiaries

—

Total services

358

Distinct HCPCS

Medicare payment

$33K

Peer benchmark

Total Medicare services vs. 249 Gastroenterology providers in WI — below median (cohort median 484).

PRESCRIBING · PART D · 2024

Total Rx claims

721

Beneficiaries

—

Total drug cost

$2.5M

Distinct drugs

Brand share

63.9%

Top prescribed drugs

Peg3350/Sod Sulf,bicarb,cl/Kcl199 claims

Adalimumab93 claims

Mesalamine46 claims

Azathioprine46 claims

Pantoprazole Sodium35 claims

QUALITY · MIPS · 2024

Final MIPS score

83.3

Quality

87.8

Cost

75.8

Improvement activities

40.0

Promoting interop.

77.0

Payment adjustment

0.35%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 520089

Hospital

CCN 520098

Hospital

REFERRAL NETWORK

Where Ian Grimes'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). 5 inbound referrers · 14 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Kristina Matkowskyj Pathology · Rochester, MN	34	66
Igor Slukvin Pathology · Madison, WI	34	68
MERITER HOSPITAL, INC.	17	42
MAKIELSKI, JONATHAN	16	28
Michael Ford Anesthesiology · Verona, WI	11	24

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY	248	943
MILE BLUFF MEDICAL CENTER INC	43	153
Rashmi Agni Pathology · Madison, WI	35	70
Jesse Lloyd Pathology · Madison, WI	22	45
MILE BLUFF MEDICAL CENTER INC	21	47
Jeffrey Kanne Diagnostic Radiology · Madison, WI	20	53
Agnes Loeffler Pathology · Cleveland, OH	18	36
Timothy Kamp Cardiology · Madison, WI	14	18
Darya Buehler Pathology · Madison, WI	13	23
MAKIELSKI, JONATHAN	13	20
Rao Watson Pathology · St Louis Park, MN	12	23
Claire Beaumont Diagnostic Radiology · Little Rock, AR	11	17

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