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PROVIDER PROFILE · NPI 1497953467

Michael GrupkaMD

GastroenterologyHiram, GAI
CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore
OIG/SAM exclusion screening, sanctions history
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PricingContactPrivacyTerms
QUALITY · MIPS · 2024
Final MIPS score
93.9
Quality
82.1
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.80%
APM Entity
PRESCRIBING · PART D · 2024
Total Rx claims
833
Beneficiaries
—
Total drug cost
$258K
Distinct drugs
18
Brand share
13.4%
Top prescribed drugs
Pantoprazole Sodium342 claims
Famotidine85 claims
Omeprazole82 claims
Sucralfate52 claims
Linaclotide46 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$186
Payment records
9
By payment type
Food and Beverage$186
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
473
Unique beneficiaries
—
Total services
574
Distinct HCPCS
15
Medicare payment
$55K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 389 Gastroenterology providers in GA — below median (cohort median 747).
REFERRAL NETWORK

Where Michael Grupka'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). 62 inbound referrers · 91 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
PAULDING MEDICAL CENTER, INC.143387
COBB HOSPITAL, INC131323
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
91178
Thomas Orourke
Pathology · Alpharetta, GA
84118
Lindsay Amell
Certified Registered Nurse Anesthetist (CRNA) · Montgomery, AL
6173
Stuart Resnick
Diagnostic Radiology · Marietta, GA
50151
Joseph Moyers
Diagnostic Radiology · Marietta, GA
4382
Alan Cheng
Cardiology · Hiram, GA
34115
James Robertson
Diagnostic Radiology · Marietta, GA
3181
Thomas Hinz
Diagnostic Radiology · Marietta, GA
2978
Sohail Asfandiyar
Gastroenterology · Woodstock, GA
28105
Jay Patel
Diagnostic Radiology · Marietta, GA
2866
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Dca Diagnostics, Llc
Ambulatory Surgical Center · Lithia Springs, GA
100148
COBB HOSPITAL, INC98255
PAULDING MEDICAL CENTER, INC.89171
KENNESTONE HOSPITAL, INC.87201
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Tucker, GA
56164
Metro Atlanta Ambulance Services Inc
Ambulance Service Provider · Marietta, GA
45103
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
44104
Puckett Emergency Medical Services, Llc
Ambulance Service Provider · Austell, GA
41129
SACKS, HARVEY3379
DOUGLAS HOSPITAL, INC.3270
Mark Wetherly
Diagnostic Radiology · Marietta, GA
3074
Thomas Orourke
Pathology · Alpharetta, GA
3036
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.