Brian F. Birnbaum, MD

47% fewer Medicare Part D claims than the average pediatric cardiology physician in 2024

39 Medicare Part D claims, against an average of 74 among the 518 providers of this specialty who prescribed in Part D.

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 77.3 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $20.68

1 payment: food and beverage; the largest payer was Abbott Laboratories. The 1,156 providers of this specialty with any payment received $2,864.57 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

1. Saint Lukes Physician Group IncOverland Park, KS
2. The Childrens Mercy HospitalKansas City, MO

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).