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PROVIDER PROFILE · NPI 1467494369

Carol RileyC.R.N.P.

PRACTICEJOHNS HOPKINS COMMUNITY PHYSICIANSSee all providers at this practice →
Nurse PractitionerLutherville, MDI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
Total Rx claims
278
Beneficiaries
—
Total drug cost
$374K
Distinct drugs
10
Brand share
11.9%
Top prescribed drugs
Anastrozole78 claims
Letrozole53 claims
Exemestane36 claims
Tamoxifen Citrate20 claims
Gabapentin18 claims
REFERRAL NETWORK

Where Carol 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). 1 inbound referrers · 3 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Deborah Armstrong
Medical Oncology · Lutherville, MD
1276
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
THE JOHNS HOPKINS HOSPITAL57600
Vered Stearns
Medical Oncology · Washington, DC
19101
Deborah Armstrong
Medical Oncology · Lutherville, MD
11100
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
145
Unique beneficiaries
—
Total services
258
Distinct HCPCS
2
Medicare payment
$19K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 4,258 Nurse Practitioner providers in MD — below median (cohort median 389).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
QUALITY · MIPS · 2024
Final MIPS score
83.3
Quality
73.9
Cost
70.5
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.35%
Group