Regina Marie Marcinek, APRN, CLINICAL NURSE

37% fewer Medicare Part D claims than the average adult health clinical nurse specialist in 2024

685 Medicare Part D claims for 208 beneficiaries, against an average of 1,079 among the 450 providers of this specialty who prescribed in Part D. Brand-name drugs were 37% of claims.

Most prescribed

1. Levothyroxine Sodium516 claims
2. Methimazole49 claims
3. Synthroid21 claims
4. Calcitriol20 claims
5. Amlodipine Besylate15 claims
6. Propranolol Hcl12 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): 100 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: $604.47

6 payments; by number, the most common kind was food and beverage; the largest payer was Astellas Pharma US Inc. The 442 providers of this specialty with any payment received $1,049.03 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. University OF KentuckyLexington, KY

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