Medicare Fraud Risk in Utah

91 of 11,191 Medicare Part D prescribers in Utah (0.81%) were flagged as high-risk by our multi-factor scoring model.

Data: CMS Medicare Part D, 2023 (most current available) · Updated March 2026

Share:

91

High-Risk Providers

$14.0M

Flagged Provider Costs

0.81%

Of Providers Flagged

17.1%

State Avg Opioid Rate

Highest-Risk Prescribers in Utah

Risk scores are statistical indicators, not allegations of wrongdoing. Learn about our methodology.

ProviderRisk ScoreDrug Cost
April Simkins56/100$442K
Susan Basta54/100$129K
Brookanne Mickelson49/100$354K
Marinda Paskett48/100$169K
Stephanie Sphar48/100$112K
Darryl Hardy48/100$268K
Andrew Coles48/100$49K
Nicholas Stucki46/100$132K
Gigi Whaley-Pryor46/100$253K
Carina Chacon45/100$143K
Diane Smith45/100$205K
Jenna Summerhays45/100$222K
Trent Greenhalgh45/100$386K
Greg Powell44/100$594K
Jeffrey Wright43/100$288K

By Specialty

Nurse Practitioner12
Physician Assistant2
Internal Medicine1

By City

Ogden3
Layton2
Saint George2
Salt Lake City1
St George1
Clearfield1
West Jordan1
Sandy1

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Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are computed using our 10-component statistical model analyzing prescribing patterns relative to specialty peers. High risk scores indicate unusual patterns that may warrant review — they are not accusations of fraud. Dispute this data