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PROVIDER PROFILE · NPI 1427097419

Benjamin GrajalesM.D.

General SurgeryLeominster, MAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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REFERRAL NETWORK

Where Benjamin Grajales'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). 8 inbound referrers · 12 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
UMASS MEMORIAL HEALTHALLIANCE CLINTON HOSPITAL INC113422
Quest Diagnostics Massachusetts Llc
Clinical Laboratory · Marlborough, MA
3085
Rodrick Williams
Diagnostic Radiology · Easthampton, MA
2979
Patricia Cross
Diagnostic Radiology · Leominster, MA
2149
Peter Wilson
Cardiology · Leominster, MA
1732
OWENS, CHRISTOPHER1527
Fitchburg Emergency Medical Services Inc
Ambulance Service Provider · Leominster, MA
1216
COMMUNITY HEALTH CONNECTIONS, INC.1243
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
UMASS MEMORIAL HEALTHALLIANCE CLINTON HOSPITAL INC78239
Nader Morad
Pathology · Worcester, MA
42125
Guillermo Walters
Diagnostic Radiology · Leominster, MA
2049
Quest Diagnostics Massachusetts Llc
Clinical Laboratory · Marlborough, MA
1839
Catherine Mulqueen
Diagnostic Radiology · Milford, MA
1857
Patricia Cross
Diagnostic Radiology · Leominster, MA
1626
UMASS MEMORIAL MEDICAL CENTER, INC.1438
Rodrick Williams
Diagnostic Radiology · Easthampton, MA
1337
OWENS, CHRISTOPHER1220
Maureen Maher
Cardiology · Leominster, MA
1125
William Friedman
Family Practice · Westminster, MA
1126
MERCADANTE, NICHOLAS1125
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
219
Unique beneficiaries
—
Total services
270
Distinct HCPCS
7
Medicare payment
$20K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 507 General Surgery providers in MA — above median (cohort median 312).
PRESCRIBING · PART D · 2024
Total Rx claims
23
Beneficiaries
—
Total drug cost
$27
Distinct drugs
1
Brand share
0.0%
Top prescribed drugs
Tramadol Hcl23 claims
QUALITY · MIPS · 2024
Final MIPS score
100.0
Quality
83.0
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
1.05%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.