What is Bijaya Ghimire's specialty?

Bijaya Ghimire (NPI 1891975280) is a Medicare-billing provider whose primary specialty is Emergency Medicine in Richmond, KY.

Where does Bijaya Ghimire practice?

Bijaya Ghimire practices in Richmond, KY, based on the location reported in the CMS Medicare provider datasets for NPI 1891975280.

How much does Medicare pay Bijaya Ghimire?

Bijaya Ghimire (NPI 1891975280) received approximately $39K in total Medicare Part B payments, serving 336 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1891975280

Bijaya GhimireM.D.

Emergency MedicineRichmond, KYI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

554

Unique beneficiaries

—

Total services

978

Distinct HCPCS

Medicare payment

$38K

Peer benchmark

Total Medicare services vs. 619 Emergency Medicine providers in KY — top quintile (cohort median 383).

PRESCRIBING · PART D · 2024

Total Rx claims

426

Beneficiaries

—

Total drug cost

$3K

Distinct drugs

Brand share

12.9%

Top prescribed drugs

Ibuprofen79 claims

Cefdinir67 claims

Dexamethasone54 claims

Prednisone40 claims

Hydrocodone/Acetaminophen21 claims

QUALITY · MIPS · 2024

Final MIPS score

96.3

Quality

83.6

Cost

90.9

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.89%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025

Total received

$16

Payment records

By payment type

Food and Beverage$16

Top paying entities

Food and Beverage$16

REFERRAL NETWORK

Where Bijaya 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). 33 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Lokesh Khanna Diagnostic Radiology · San Antonio, TX	155	448
Pallaki Ravi Family Practice · Danville, KY	80	300
Mengistu Yemane Internal Medicine · Denver, CO	59	126
Jeffrey Newswanger Family Practice · Ephrata, PA	55	159
Dana Edwards General Surgery · Manchester, KY	35	109
Keerthana Karumbaiah Cardiology · Manchester, KY	35	113
City Of Middlesboro Ambulance Service Provider · Middlesboro, KY	35	86
Neeraj Mahboob Internal Medicine · Frankfort, KY	34	144
Philip Goldman Emergency Medicine · Florence, KY	32	174
Edna Stewart Nurse Practitioner · Gray, KY	29	85
Betty Sizemore Nurse Practitioner · Manchester, KY	26	91
NEERAJ MAHBOOB INTERNAL MEDICINE PSC	26	75

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

Healthparse Signals

Monitor this provider for changes — dated NPI change events