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 · 2024

No data available for this provider in 2024.

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