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PROVIDER PROFILE · NPI 1417940974

Donna RileyAPRN

PRACTICECOLUMBIA ORTHOPAEDIC GROUPSee all providers at this practice →
Certified Clinical Nurse SpecialistColumbia, MOI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
88.1
Quality
24.3
Cost
71.1
Improvement activities
40.0
Promoting interop.
86.0
Payment adjustment
0.55%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
227
Beneficiaries
—
Total drug cost
$2K
Distinct drugs
3
Brand share
0.0%
Top prescribed drugs
Diclofenac Sodium128 claims
Meloxicam67 claims
Celecoxib32 claims
REFERRAL NETWORK

Where Donna Riley's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 2 inbound referrers · 1 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Mark Adams
Orthopedic Surgery · Columbia, MO
2144
MONCRIEF, AUBREY1313
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Surgical Center At Columbia Orthopaedic Group Llc
Ambulatory Surgical Center · Columbia, MO
2020
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
40
Unique beneficiaries
—
Total services
40
Distinct HCPCS
2
Medicare payment
$2K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 56 Certified Clinical Nurse Specialist providers in MO — bottom quintile (cohort median 249).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.