Toni Denise Sanchez, NURSE PRACTITIONER

55% more Medicare Part D claims than the average psychiatric/mental health nurse practitioner in 2024

1,407 Medicare Part D claims for 194 beneficiaries, against an average of 906 among the 30,717 providers of this specialty who prescribed in Part D. Brand-name drugs were 8% of claims.

Most prescribed

1. Sertraline Hcl180 claims
2. Buspirone Hcl89 claims
3. Quetiapine Fumarate89 claims
4. Mirtazapine74 claims
5. Oxcarbazepine73 claims
6. Escitalopram Oxalate71 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): 79.4 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: $14.63

1 payment: food and beverage; the largest payer was Otsuka America Pharmaceutical, Inc. The 23,362 providers of this specialty with any payment received $1,027.77 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. Hospitalist Medicine Physicians OF Mississippi-Tcg, Inc.Naples, FL
2. M And H Med Housecalls LLCCape Coral, FL
3. Thrive Behavioral Sciences- Orlando LLCOrlando, FL

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