Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $66.65 | 4 | 100.0% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Novartis Pharmaceuticals Corporation | $30.36 | 2 | $0 (2019) |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $22.72 | 1 | $0 (2019) |
| PFIZER INC. | $13.57 | 1 | $0 (2020) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2020 | $13.57 | 1 | PFIZER INC. ($13.57) |
| 2019 | $53.08 | 3 | Novartis Pharmaceuticals Corporation ($30.36) |
All Payment Transactions
4 individual payment records from CMS Open Payments
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 09/18/2020 | PFIZER INC. | ELIQUIS (Drug), VYNDAQEL | Food and Beverage | In-kind items and services | $13.57 | General |
| Category: CARDIOVASCULAR;METABOLIC DISEASE | ||||||
| 09/16/2019 | Novartis Pharmaceuticals Corporation | ENTRESTO (Drug) | Food and Beverage | In-kind items and services | $16.53 | General |
| Category: CARDIOVASCULAR | ||||||
| 06/17/2019 | ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | LifeVest (Device) | Food and Beverage | Cash or cash equivalent | $22.72 | General |
| Category: Electromedical and Electrotherapeutic Apparatus | ||||||
| 02/28/2019 | Novartis Pharmaceuticals Corporation | ENTRESTO (Drug) | Food and Beverage | In-kind items and services | $13.83 | General |
| Category: CARDIOVASCULAR | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 5 | 381 | 911 | $194,279 | $69,810 |
| 2022 | 5 | 399 | 875 | $185,936 | $65,474 |
| 2021 | 5 | 400 | 798 | $176,419 | $64,288 |
| 2020 | 5 | 460 | 1,035 | $210,101 | $76,376 |
All Medicare Procedures & Services
20 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Facility | 2023 | 215 | 729 | $133,686 | $49,609 | 37.1% |
| 99239 | Hospital discharge day management, more than 30 minutes | Facility | 2023 | 76 | 76 | $21,546 | $7,554 | 35.1% |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Facility | 2023 | 43 | 43 | $20,357 | $6,131 | 30.1% |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | Facility | 2023 | 29 | 45 | $12,226 | $4,589 | 37.5% |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Facility | 2023 | 18 | 18 | $6,464 | $1,928 | 29.8% |
| 99232 | Follow-up hospital inpatient care per day, typically 25 minutes | Facility | 2022 | 182 | 645 | $105,912 | $37,014 | 34.9% |
| 99223 | Initial hospital inpatient care per day, typically 70 minutes | Facility | 2022 | 123 | 130 | $54,497 | $19,332 | 35.5% |
| 99220 | Initial hospital observation care per day, typically 70 minutes | Facility | 2022 | 43 | 44 | $16,734 | $5,816 | 34.8% |
| 99238 | Hospital discharge day management, 30 minutes or less | Facility | 2022 | 36 | 36 | $5,796 | $2,140 | 36.9% |
| 99225 | Follow-up observation care per day, typically 25 minutes | Facility | 2022 | 15 | 20 | $2,997 | $1,172 | 39.1% |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | Facility | 2021 | 179 | 563 | $94,584 | $33,209 | 35.1% |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | Facility | 2021 | 122 | 132 | $55,308 | $21,042 | 38.0% |
| 99220 | Hospital observation care, typically 70 minutes | Facility | 2021 | 42 | 45 | $17,145 | $6,640 | 38.7% |
| 99238 | Hospital discharge day management, 30 minutes or less | Facility | 2021 | 46 | 47 | $7,567 | $2,810 | 37.1% |
| 99217 | Hospital observation care on day of discharge | Facility | 2021 | 11 | 11 | $1,815 | $586.38 | 32.3% |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | Facility | 2020 | 216 | 782 | $131,376 | $46,120 | 35.1% |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | Facility | 2020 | 129 | 136 | $56,984 | $22,206 | 39.0% |
| 99238 | Hospital discharge day management, 30 minutes or less | Facility | 2020 | 91 | 93 | $14,973 | $5,637 | 37.6% |
| 99220 | Hospital observation care, typically 70 minutes | Facility | 2020 | 13 | 13 | $4,953 | $1,732 | 35.0% |
| 99217 | Hospital observation care on day of discharge | Facility | 2020 | 11 | 11 | $1,815 | $680.25 | 37.5% |
About Raj Ghimire, M.D.,
Raj Ghimire, M.D., is a Internal Medicine healthcare provider based in Ephrata, Pennsylvania. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 08/27/2009. The National Provider Identifier (NPI) number assigned to this provider is 1669605416.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Raj Ghimire, M.D., has received a total of $66.65 in payments from pharmaceutical and medical device companies, with $13.57 received in 2020. These payments were reported across 4 transactions from 3 companies. The most common payment nature is "Food and Beverage" ($66.65).
As a Medicare-enrolled provider, Ghimire has provided services to 1,640 Medicare beneficiaries, totaling 3,619 services with total Medicare billing of $275,948. Data is available for 4 years (2020–2023), covering 20 distinct procedure/service records.
Practice Information
- Specialty Internal Medicine
- Other Specialties Hospitalist, Internal Medicine
- Location Ephrata, PA
- Active Since 08/27/2009
- Last Updated 09/12/2024
- Taxonomy Code 207R00000X
- Entity Type Individual
- NPI Number 1669605416
Products in Payments
- ENTRESTO (Drug) $30.36
- LifeVest (Device) $22.72
- ELIQUIS (Drug) $13.57
Explore
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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