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PROVIDER PROFILE · NPI 1972662260

Avinash GhimireMD

NephrologyBastrop, TXI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$93
Payment records
4
By payment type
Food and Beverage$93
QUALITY · MIPS · 2024
Final MIPS score
81.4
Quality
64.5
Cost
73.5
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.27%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
1,283
Beneficiaries
—
Total drug cost
$397K
Distinct drugs
33
Brand share
18.6%
Top prescribed drugs
Losartan Potassium115 claims
Amlodipine Besylate100 claims
Hydralazine Hcl96 claims
Lisinopril96 claims
Sevelamer Carbonate93 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
255
Unique beneficiaries
—
Total services
594
Distinct HCPCS
8
Medicare payment
$96K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 883 Nephrology providers in TX — below median (cohort median 1,432).
REFERRAL NETWORK

Where Avinash 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). 51 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Matthew Pyenta
Nephrology · Lewiston, ME
124484
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
108328
ST. MARY'S REGIONAL MEDICAL CENTER88700
Spectra East, Inc.
Clinical Laboratory · Rockleigh, NJ
72450
Charles Humphrey
Diagnostic Radiology · Lewiston, ME
61196
Gregory Friedel
Interventional Radiology · Lewiston, ME
58198
Michael Miller
Diagnostic Radiology · Lewiston, ME
55147
Jeremy Duda
Diagnostic Radiology · Lewiston, ME
50109
RUMFORD HOSPITAL46168
ANDROSCOGGIN HOME HEALTH SERVICES, INC44144
Lynette Weeman
Cardiology · Lewiston, ME
4396
Jerrold Gale
Diagnostic Radiology · Lewiston, ME
42102
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.