Kandice K. Andrews, CNS

6.3 times the Medicare Part D claims of the average adult psychiatric/mental health clinical nurse specialist in 2024

7,329 Medicare Part D claims for 179 beneficiaries, against an average of 1,167 among the 347 providers of this specialty who prescribed in Part D. Brand-name drugs were 9% of claims.

Most prescribed

1. Olanzapine461 claims
2. Sertraline Hcl358 claims
3. Divalproex Sodium Er346 claims
4. Clonazepam335 claims
5. Trazodone Hcl324 claims
6. Oxcarbazepine283 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): 93.6 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: $27.71

1 payment: food and beverage; the largest payer was Indivior Inc. The 205 providers of this specialty with any payment received $1,467.46 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.

2 hospitals and group practices

1. Hurley Medical CenterFlint, MI · Acute Care Hospitals2 of 5 stars
2. Genesee Health SystemFlint, MI

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.