Kelsey Heneberry

80% fewer Medicare Part D claims than the average gerontology nurse practitioner in 2024

276 Medicare Part D claims for 39 beneficiaries, against an average of 1,369 among the 6,165 providers of this specialty who prescribed in Part D. Brand-name drugs were 10% of claims. 16 claims were for opioids.

Most prescribed

1. Clopidogrel38 claims
2. Metoprolol Tartrate36 claims
3. Atorvastatin Calcium24 claims
4. Amiodarone Hcl16 claims
5. Amlodipine Besylate15 claims
6. Pantoprazole Sodium14 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): 31.2 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: $168.22

21 payments; by number, the most common kind was food and beverage; the largest payer was Zoll Services LLC (a/k/a Zoll LifeCor Corp). The 3,903 providers of this specialty with any payment received $742.05 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. Mercy Health Physicians North Specialty Care LLCToledo, OH
2. Promedica Northwest Ohio Cardiology Consultants LLCToledo, OH

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