Samuel Mark Bertoch, FNP-C

39% more Medicare Part D claims than the average nurse practitioner in 2024

1,546 Medicare Part D claims for 219 beneficiaries, against an average of 1,109 among the 54,319 providers of this specialty who prescribed in Part D. Brand-name drugs were 5% of claims. 699 claims were for opioids.

Most prescribed

1. Hydrocodone-Acetaminophen214 claims
2. Oxycodone-Acetaminophen130 claims
3. Pregabalin107 claims
4. Tramadol Hcl105 claims
5. Gabapentin102 claims
6. Morphine Sulfate Er54 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): 66.1 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: $69.61

1 payment: food and beverage; the largest payer was Globus Medical, Inc. 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.

2 hospitals and group practices

1. Uintah Basin Medical CenterRoosevelt, UT · Acute Care Hospitals2 of 5 stars
2. Northeastern Utah Medical GroupRoosevelt, UT

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.