Caroline Molony, PMHNP

78% more Medicare Part D claims than the average psychiatric/mental health nurse practitioner in 2024

1,614 Medicare Part D claims for 244 beneficiaries, against an average of 906 among the 30,717 providers of this specialty who prescribed in Part D. Brand-name drugs were 3% of claims.

Most prescribed

1. Sertraline Hcl472 claims
2. Memantine Hcl157 claims
3. Hydroxyzine Hcl128 claims
4. Fluoxetine Hcl76 claims
5. Quetiapine Fumarate70 claims
6. Mirtazapine64 claims

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): 94.4 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: $40.31

1 payment: food and beverage; the largest payer was Otsuka America Pharmaceutical, Inc. The 23,362 providers of this specialty with any payment received $1,027.77 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 4 group practices

1. Alcove Ventures LLCMedina, OH
2. Mindcare Solutions PCErlanger, KY
3. P360 Care Services PLLC DBA Psych 360Bethlehem, PA
4. West Virginia Psych Services PLLCGallipolis Ferry, WV

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