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PROVIDER PROFILE · NPI 1780656256

Derald GriceMD

Physical Medicine and RehabilitationCharlottesville, VAI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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REFERRAL NETWORK

Where Derald Grice'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). 13 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
UVA ENCOMPASS HEALTH REHABILITATION HOSPITAL, LLC64126
Mark Anderson
Diagnostic Radiology · Charlottesville, VA
54125
MARTHA JEFFERSON HOSPITAL45146
AUGUSTA HEALTH CARE, INC2697
Geoffrey Smith
Physical Medicine and Rehabilitation · Rochester, MN
25148
NPI 112402932724109
SEFCZEK, ROBERT2057
David Rubendall
Physical Medicine and Rehabilitation · Charlottesville, VA
2066
HOWARD, SARA1937
Susan Miller
Physical Medicine and Rehabilitation · Charlottesville, VA
1969
BAKER, NINA14111
Jay Fertile
Diagnostic Radiology · Charlottesville, VA
1436
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
727
Unique beneficiaries
—
Total services
1,176
Distinct HCPCS
20
Medicare payment
$108K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 206 Physical Medicine and Rehabilitation providers in VA — above median (cohort median 1,250).
PRESCRIBING · PART D · 2024
Total Rx claims
632
Beneficiaries
—
Total drug cost
$13K
Distinct drugs
14
Brand share
6.3%
Top prescribed drugs
Tramadol Hcl143 claims
Gabapentin135 claims
Diclofenac Sodium56 claims
Meloxicam53 claims
Baclofen50 claims
QUALITY · MIPS · 2024
Final MIPS score
86.5
Quality
79.8
Cost
75.1
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.48%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.