PROVIDER PROFILE · NPI 1689644833

James GrimesMD

Orthopedic SurgerySaint Augustine, FLI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

999

Unique beneficiaries

—

Total services

1,332

Distinct HCPCS

Medicare payment

$109K

Peer benchmark

Total Medicare services vs. 1,417 Orthopedic Surgery providers in FL — below median (cohort median 1,874).

PRESCRIBING · PART D · 2024

Total Rx claims

759

Beneficiaries

—

Total drug cost

$7K

Distinct drugs

Brand share

10.8%

Top prescribed drugs

Celecoxib426 claims

Gabapentin83 claims

Oxycodone Hcl51 claims

Oxycodone Hcl/Acetaminophen43 claims

Ibuprofen35 claims

QUALITY · MIPS · 2024

Final MIPS score

78.1

Quality

56.3

Cost

78.6

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.13%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$142

Payment records

By payment type

Food and Beverage$142

REFERRAL NETWORK

Where James 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). 52 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
FLAGLER HOSPITAL INC	386	1,600
Robert Taliaferro Diagnostic Radiology · Saint Augustine, FL	114	370
Milton Mendenhall Diagnostic Radiology · Saint Augustine, FL	69	207
Brian Haycook Orthopedic Surgery · Clyde, NC	55	99
OUTPATIENT SURGERY CENTER OF ST AUGUSTINE LLC	44	84
Jorge Garcia Anesthesiology · St Augustine, FL	36	135
Ripp Smith Diagnostic Radiology · St Augustine, FL	34	99
Laboratory Corporation Of America Clinical Laboratory · Tampa, FL	31	115
Jawad Farhat Internal Medicine · Saint Augustine, FL	29	150
Patrick Ziemann-Gimmel Anesthesiology · St Augustine, FL	28	98
Rafael Apontelopez Diagnostic Radiology · St Augustine, FL	27	75
SCHONDER, MATTHEW	27	153

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history