⚠️

Risk scores are statistical indicators based on prescribing patterns compared to specialty peers. They are NOT allegations of fraud, misconduct, or improper care. Many legitimate medical reasons can explain outlier prescribing.

Read our methodology →

Sandra ArmstrongARPN

Nurse Practitioner · Palm Bay, FL 32909

NPI: 1003109661

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14

🟢 Low

Risk Flags

Elevated antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

4,409

Total Claims

$389K

Drug Cost

444

Beneficiaries

$877

Cost/Patient

Risk Score Breakdown 14/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

-61%

Opioid rate vs peers

1.5% vs 3.8% avg

-25%

Cost per patient vs peers

$877 vs $1,174 avg

+37%

Brand preference vs peers

12.1% vs 8.9% avg

⚠️ Opioid + Benzodiazepine Co-Prescriber

This provider prescribes both opioids and benzodiazepines. The FDA has issued a Black Box Warning about the life-threatening risks of concurrent use.

🔎 Data Overview

⚠️

This provider co-prescribes opioids and benzodiazepines — a combination carrying an FDA Black Box Warning due to increased risk of respiratory depression and death. While sometimes clinically necessary, this combination requires careful justification.

Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.

Opioid Prescribing

1.5%

Opioid Rate

65

Opioid Claims

$450

Opioid Cost

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 532 claims · $278K

Generic: 3,850 claims · $111K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide27$36K
Empagliflozin27$29K
Rivaroxaban26$28K
Semaglutide13$18K
Insulin Degludec34$17K
Apixaban17$15K
Fluticasone/Umeclidin/Vilanter17$13K
Insulin Degludec14$12K
Mirabegron17$12K
Rosuvastatin Calcium89$9,327
Insulin Nph Hum/Reg Insulin Hm16$6,212
Sumatriptan Succinate22$4,901
Levothyroxine Sodium187$3,614
Fluticasone Propion/Salmeterol12$3,503
Duloxetine Hcl21$2,719

Prescribing Profile

92

Unique Drugs

$71K

IRA Negotiated Drugs

$54K

GLP-1 Drugs

14.0

Anomaly Score

Patient Profile

74

Avg Age

69%

Female

1.26

Avg Risk Score

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Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations of wrongdoing.Methodology · About · Dispute this data