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PROVIDER PROFILE · NPI 1699779462

Richard GrimsleyMD

Orthopedic SurgeryJacksonville, FLI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
86.1
Quality
75.3
Cost
46.8
Improvement activities
40.0
Promoting interop.
99.0
Payment adjustment
0.47%
Individual
PRESCRIBING · PART D · 2024
Total Rx claims
461
Beneficiaries
—
Total drug cost
$14K
Distinct drugs
9
Brand share
13.4%
Top prescribed drugs
Celecoxib147 claims
Oxycodone Hcl142 claims
Hydrocodone/Acetaminophen48 claims
Meloxicam37 claims
Amoxicillin31 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$2K
Payment records
28
By payment type
Travel and Lodging$866
Food and Beverage$857
Top paying entities
Travel and Lodging$866
Food and Beverage$857
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
897
Unique beneficiaries
—
Total services
1,711
Distinct HCPCS
14
Medicare payment
$131K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,417 Orthopedic Surgery providers in FL — above median (cohort median 1,874).
REFERRAL NETWORK

Where Richard Grimsley'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). 33 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
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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.