Lauren Cote, APRN

76% fewer Medicare Part D claims than the average family nurse practitioner in 2024

310 Medicare Part D claims for 106 beneficiaries, against an average of 1,305 among the 140,557 providers of this specialty who prescribed in Part D. 53 claims were for opioids.

Most prescribed

1. Gabapentin131 claims
2. Hydrocodone-Acetaminophen36 claims
3. Pregabalin34 claims
4. Methylprednisolone28 claims
5. Baclofen17 claims
6. Meloxicam12 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): 83.4 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: $80.67

3 payments; by number, the most common kind was food and beverage; the largest payer was Boston Scientific Corporation. The 99,489 providers of this specialty with any payment received $650.95 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 3 group practices

1. Ascension Medical Group Via Christi PAWichita, KS
2. Heartland Interventional Pain And Spine, LLCWichita, KS
3. Novacare Outpatient Rehabilitation IncNewton, KS

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