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PROVIDER PROFILE · NPI 1639325657

Shanker GhimireM.D.

PRACTICEJERSEY CITY MEDICAL CENTERSee all providers at this practice →
Internal MedicineJersey City, NJI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
357
Unique beneficiaries
—
Total services
644
Distinct HCPCS
5
Medicare payment
$49K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 3,616 Internal Medicine providers in NJ — below median (cohort median 895).
QUALITY · MIPS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
Total Rx claims
525
Beneficiaries
—
Total drug cost
$34K
Distinct drugs
20
Brand share
32.0%
Top prescribed drugs
Pantoprazole Sodium58 claims
Clopidogrel Bisulfate43 claims
Apixaban41 claims
Prednisone37 claims
Amoxicillin/Potassium Clav33 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Shanker Ghimire'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). 86 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION5802,037
SOLSTAS LAB PARTNERS GROUP LLC66358
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53155
JORDAN, DAVID47156
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44106
Jonathan Watts
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37118
Hetal Patel
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3499
MAXWELL, JAMES3279
Raymond Rubner
Diagnostic Radiology · Greensboro, NC
3083
Courtnay Bloomer
Diagnostic Radiology · Walnut Creek, CA
2963
Jessica Vann
Internal Medicine · Greensboro, NC
2979
Refers patients to
Outbound — where patients go next
No outbound pairs above the suppression threshold.
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.