Jaime Lynn O'Rourke

89% fewer Medicare Part D claims than the average nurse practitioner in 2024

125 Medicare Part D claims for 67 beneficiaries, against an average of 1,109 among the 54,319 providers of this specialty who prescribed in Part D. 61 claims were for opioids.

Most prescribed

1. Oxycodone Hcl50 claims
2. Pantoprazole Sodium11 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): 97.8 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: $650.85

28 payments; by number, the most common kind was food and beverage; the largest payer was Merck Sharp & Dohme LLC. The 38,884 providers of this specialty with any payment received $791.64 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 one group practice

1. Northwest Hbp Medical Services LLCTucson, AZ

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