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Plans that list them
1 plan · 1 carrier
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Plans whose provider directory lists this clinician
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
Largest Original Medicare bills
Return visit (30+ min)
52
$4,986
$89
Short return visit (20+ min)
32
$2,286
$65
Who their Medicare patients are
119 Original Medicare patients in 2024. Average age 76 · Women 53% · Also on Medicaid 11% · Health risk score 0.93. At or below the middle of the specialty; the typical nurse practitioner clinician is at 1.42.
The office billed $47,069, Medicare allowed $17,077 and paid $12,178; for 160 services of 25 kinds.
Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.
Year by year
Original Medicare by year
2024
119
160
76
0.93
$47,069
$12,178
2023
165
198
76
1.19
$49,571
$13,763
2022
318
584
76
2.23
$121,115
$40,058
2021
425
1,084
75
2.80
$238,770
$91,668
2020
498
909
76
2.94
$213,272
$73,400
2019
493
826
77
2.67
$194,766
$68,707
Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.
See the services billed each year
2023: 3 services
Original Medicare services billed in 2023
Short return visit (20+ min)
100
$6,775
$62
Return visit (30+ min)
38
$3,661
$92
Short return visit
24
$755
$31
2022: 4 services
Original Medicare services billed in 2022
Psychiatric diagnostic evaluation with medical services
108
$15,171
$140
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more
132
$12,896
$44
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes
62
$5,926
$60
Short return visit (20+ min)
51
$3,976
$74
2021: 3 services
Original Medicare services billed in 2021
Psychiatric diagnostic evaluation with medical services
272
$41,623
$153
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes
186
$29,350
$71
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more
167
$19,269
$51
2020: 3 services
Original Medicare services billed in 2020
Psychiatric diagnostic evaluation with medical services
350
$41,446
$117
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more
175
$16,584
$51
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes
128
$15,226
$67
2019: 4 services
Original Medicare services billed in 2019
Psychiatric diagnostic evaluation with medical services
340
$39,869
$117
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more
154
$14,171
$54
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes
104
$13,396
$71
Subsequent nursing facility care with straightforward level of medical decision making, per day at least 10 minutes
28
$1,061
$34
Medicaid work
$602 in 2022
Medicaid paid $602 for 330 billed services this clinician did in 2022, up to 61 people in a month for one service.
Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.
Largest Medicaid services in 2022
SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES
231
$275
Psychiatric diagnostic evaluation with medical services
36
$207
SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES
63
$120
Medicaid work by year
2022
330
3
61
$602
2021
732
3
56
$432
2020
365
3
39
$174
2019
97
2
26
$1,932
See the largest Medicaid services in earlier years
2021
Largest Medicaid services in 2021
Psychiatric diagnostic evaluation with medical services
118
$310
SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES
285
$83
SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES
329
$40
2020
Largest Medicaid services in 2020
SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES
205
$94
SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES
82
$80
Psychiatric diagnostic evaluation with medical services
78
$0
2019
Largest Medicaid services in 2019
Psychiatric diagnostic evaluation with medical services
57
$1,811
SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES
40
$121
Drugs they prescribed that Part D paid
$27,494
Pharmacies billed $27,494 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 3% of their Part D prescriptions (11 of 364) in 2024. Above the middle of the specialty; the typical nurse practitioner clinician is at 0%.
312 generic and fewer than 11 brand-name prescriptions · $27,494 in drug cost · 38 antibiotic prescriptions to 33 people.
Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.
Largest Part D drug costs
Losartan
11
$381
$35
Bupropion Xl
18
$367
$20
Rosuvastatin
17
$205
$12
Amlodipine Besylate
14
$37
$3
Year by year
Part D prescribing by year
2024
364
127
3% (11)
—None
$27,494
2023
267
114
—None
7%
$20,643
2022
134
49
—None
8%
$21,181
2021
35
—None
0% (0)
43%
$30,869
2020
30
—None
0% (0)
—None
$3,097
2019
459
83
0% (0)
—None
$41,449
2018
2,983
197
2% (69)
20%
$288,351
2017
2,270
217
2% (46)
18%
$180,051
2016
1,560
201
2% (38)
17%
$106,282
2015
227
51
—None
—None
$12,918
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 5 drugs
Part D drugs prescribed in 2023
Duloxetine
23
$589
$26
Tamsulosin
13
$221
$17
Paxlovid (Eua)
13
$137
$11
Amlodipine Besylate
13
$72
$6
Furosemide
11
$58
$5
2022: 2 drugs
Part D drugs prescribed in 2022
Duloxetine
22
$722
$33
Paxlovid (Eua)
11
$113
$10
2021: 1 drug
Part D drugs prescribed in 2021
Clozapine Odt
27
$30,730
$1,138
2020: 1 drug
Part D drugs prescribed in 2020
Alprazolam
13
$68
$5
2019: 10 drugs
Part D drugs prescribed in 2019
Bupropion Xl
16
$577
$36
Atorvastatin
35
$529
$15
Omeprazole
22
$383
$17
Levothyroxine
18
$266
$15
Losartan
17
$216
$13
Fluticasone Propionate
13
$163
$13
Lisinopril
24
$146
$6
Amlodipine Besylate
17
$134
$8
Sertraline
18
$128
$7
Gabapentin
12
$126
$10
2018: 68 drugs
Part D drugs prescribed in 2018
Jardiance
46
$30,413
$661
Novolog Flexpen
40
$23,722
$593
Janumet
30
$22,471
$749
Advair Diskus
45
$22,056
$490
Januvia
23
$20,200
$878
Lantus Solostar
24
$9,482
$395
Levemir Flextouch
25
$8,961
$358
Tresiba Flextouch U-200
11
$8,054
$732
Pradaxa
11
$4,714
$429
Breo Ellipta
13
$4,530
$348
Symbicort
11
$3,677
$334
Omega-3 Acid Ethyl Esters
13
$2,804
$216
Ventolin Hfa
48
$2,771
$58
Atorvastatin
232
$2,548
$11
Proair Hfa
22
$1,983
$90
Esomeprazole Magnesium
13
$1,721
$132
Pravastatin
44
$1,407
$32
Metoprolol
56
$1,312
$23
Levothyroxine
84
$1,278
$15
Omeprazole
94
$1,243
$13
Baclofen
25
$1,188
$48
Lisinopril
179
$1,035
$6
Hydrocodone-Acetaminophen
53
$1,018
$19
Bupropion Xl
26
$984
$38
Megestrol Acetate
12
$943
$79
Chlorthalidone
23
$788
$34
Bumetanide
18
$781
$43
Amlodipine Besylate
124
$704
$6
Ultra-Fine Mini Pen Needle
14
$672
$48
Clopidogrel
53
$652
$12
Glipizide Er
23
$578
$25
Losartan
80
$524
$7
Levocetirizine Dihydrochloride
18
$518
$29
Enalapril Maleate
18
$518
$29
Diclofenac
19
$515
$27
Metformin
79
$496
$6
Hydroxyzine
24
$468
$20
Fluticasone Propionate
40
$465
$12
Gabapentin
48
$423
$9
Paroxetine
41
$413
$10
Montelukast
47
$412
$9
Allopurinol
20
$403
$20
Sertraline
63
$402
$6
Lovastatin
30
$363
$12
Trazodone
30
$308
$10
Carvedilol
49
$302
$6
Rosuvastatin
16
$290
$18
Simvastatin
31
$254
$8
Spironolactone
15
$223
$15
Hydrochlorothiazide
61
$214
$4
Tamsulosin
12
$185
$15
Famotidine
16
$180
$11
Glipizide
28
$177
$6
Alendronate
18
$176
$10
Furosemide
35
$164
$5
Prednisone
26
$139
$5
Metformin Hcl Er
21
$121
$6
Ibuprofen
14
$116
$8
Alprazolam
21
$114
$5
Mirtazapine
12
$112
$9
Benazepril
16
$110
$7
Amlodipine Besylate-Benazepril
17
$105
$6
Doxycycline Hyclate
11
$101
$9
Metoprolol
21
$101
$5
Naproxen
13
$99
$8
Fluoxetine
14
$33
$2
Clonazepam
14
$27
$2
Tramadol
11
$22
$2
2017: 54 drugs
Part D drugs prescribed in 2017
Januvia
35
$24,727
$706
Lantus Solostar
37
$16,891
$457
Advair Diskus
36
$14,053
$390
Victoza 3-Pak
11
$8,678
$789
Jardiance
13
$7,302
$562
Novolog Flexpen
12
$7,117
$593
Omega-3 Acid Ethyl Esters
13
$3,910
$301
Lantus
11
$3,757
$342
Zostavax
11
$2,588
$235
Atorvastatin
162
$1,951
$12
Lidocaine
12
$1,813
$151
Zolmitriptan Odt
14
$1,746
$125
Ventolin Hfa
25
$1,385
$55
Proair Hfa
22
$1,376
$63
Metoprolol
62
$1,195
$19
Pravastatin
35
$1,125
$32
Levothyroxine
65
$1,057
$16
Omeprazole
71
$913
$13
Ultra-Fine Mini Pen Needle
20
$880
$44
Valsartan
13
$782
$60
Metformin
117
$740
$6
Lisinopril
137
$663
$5
Bumetanide
12
$655
$55
Hydrocodone-Acetaminophen
33
$621
$19
Ultra-Fine Short Pen Needle
12
$584
$49
Allopurinol
25
$536
$21
Bupropion Xl
14
$536
$38
Montelukast
43
$447
$10
Enalapril Maleate
12
$396
$33
Amlodipine Besylate
86
$376
$4
Gabapentin
31
$375
$12
Clopidogrel
22
$349
$16
Losartan
51
$333
$7
Quetiapine
15
$304
$20
Fluticasone Propionate
23
$272
$12
Glipizide
34
$272
$8
Carvedilol
40
$268
$7
Sertraline
51
$238
$5
Simvastatin
43
$236
$5
Glipizide Er
18
$232
$13
Hydrochlorothiazide
61
$226
$4
Naproxen
21
$200
$10
Tamsulosin
11
$193
$18
Paroxetine
22
$171
$8
Lovastatin
16
$161
$10
Sumatriptan
14
$149
$11
Alendronate
18
$123
$7
Furosemide
26
$117
$4
Benazepril
13
$113
$9
Terazosin
20
$110
$5
Warfarin
19
$92
$5
Zolpidem
15
$84
$6
Lisinopril-Hydrochlorothiazide
17
$80
$5
Metformin Hcl Er
11
$66
$6
2016: 34 drugs
Part D drugs prescribed in 2016
Januvia
32
$14,973
$468
Lantus Solostar
33
$14,852
$450
Novolog Flexpen
16
$10,748
$672
Novolog Mix 70-30 Flexpen
11
$5,349
$486
Omega-3 Acid Ethyl Esters
14
$2,604
$186
Bd Ultra-Fine Pen Needle
38
$1,725
$45
Atorvastatin
72
$878
$12
Proair Hfa
16
$857
$54
Metoprolol
34
$802
$24
Hydrocodone-Acetaminophen
23
$676
$29
Omeprazole
60
$482
$8
Pravastatin
17
$477
$28
Lisinopril
84
$468
$6
Levothyroxine
27
$460
$17
Gabapentin
29
$331
$11
Metformin
54
$328
$6
Amlodipine Besylate
77
$318
$4
Fluticasone Propionate
32
$306
$10
Naproxen
46
$299
$7
Simvastatin
43
$288
$7
Montelukast
28
$260
$9
Allopurinol
12
$253
$21
Losartan
43
$219
$5
Hydrochlorothiazide
53
$203
$4
Fluoxetine
16
$183
$11
Glipizide
21
$166
$8
Sertraline
29
$163
$6
Mirtazapine
13
$136
$10
Furosemide
27
$93
$3
Carvedilol
20
$86
$4
Ibuprofen
12
$67
$6
Terazosin
15
$62
$4
Lisinopril-Hydrochlorothiazide
11
$53
$5
Prednisone
11
$32
$3
2015: 3 drugs
Part D drugs prescribed in 2015
Metformin
15
$99
$7
Hydrochlorothiazide
14
$78
$6
Lisinopril
14
$60
$4
Money from drug and device companies
$125 in 2024
Industry payments by year
2024
1
1
—None
$125
2022
1
1
—None
$125
2021
1
1
—None
$39
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.