PROVIDER PROFILE · NPI 1821300401

Prajesh GhimireM.D.

Family PracticeSaratoga Springs, NYI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

746

Unique beneficiaries

—

Total services

1,288

Distinct HCPCS

Medicare payment

$104K

Peer benchmark

Total Medicare services vs. 3,705 Family Practice providers in NY — top quintile (cohort median 473).

PRESCRIBING · PART D · 2024

Total Rx claims

168

Beneficiaries

—

Total drug cost

$16K

Distinct drugs

Brand share

27.4%

Top prescribed drugs

Pantoprazole Sodium34 claims

Apixaban25 claims

Amoxicillin/Potassium Clav21 claims

Prednisone21 claims

Metoprolol Succinate15 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Prajesh 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). 45 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
ELLIS HOSPITAL	336	1,307
Michael Holmes Cardiology · Cooperstown, NY	93	336
Richard Duszak Family Practice · Albany, NY	90	556
Michael Burke Diagnostic Radiology · Schenectady, NY	87	359
Denis Manor Cardiology · Schenectady, NY	76	272
NPI 1023270766	73	349
Joseph Surace Diagnostic Radiology · New York, NY	69	274
SONG, JUHO	69	254
Sasi Cheruvu Diagnostic Radiology · Schenectady, NY	60	185
Eric Wagle Diagnostic Radiology · Schenectady, NY	56	182
Hersh Goel Hospitalist · Evansville, IN	49	281
WOOD, GARY	44	162

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