⚠️

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 →

Leah FesiCRNP

Nurse Practitioner · Philadelphia, PA 19124

NPI: 1003457037

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13

🟢 Low

Risk Flags

Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

10,090

Total Claims

$1.3M

Drug Cost

511

Beneficiaries

$2,597

Cost/Patient

Risk Score Breakdown 13/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

-60%

Opioid rate vs peers

1.5% vs 3.8% avg

+121%

Cost per patient vs peers

$2,597 vs $1,174 avg

+101%

Brand preference vs peers

17.8% 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

154

Opioid Claims

$1,819

Opioid Cost

Long-Acting Rate

Brand vs Generic

82% generic

Brand: 1,747 claims · $1.1M

Generic: 8,071 claims · $199K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Sacubitril/Valsartan80$95K
Apixaban88$86K
Empagliflozin72$76K
Bictegrav/Emtricit/Tenofov Ala15$58K
Dulaglutide42$53K
Semaglutide36$49K
Budesonide/Formoterol Fumarate110$47K
Sitagliptin Phosphate45$40K
Rivaroxaban30$35K
Dapagliflozin Propanediol40$32K
Insulin Aspart Prot/Insuln Asp12$27K
Insulin Glargine,hum.Rec.Anlog41$26K
Mirabegron38$25K
Fluticasone Propion/Salmeterol42$20K
Linagliptin21$19K

Prescribing Profile

151

Unique Drugs

$377K

IRA Negotiated Drugs

$102K

GLP-1 Drugs

13.0

Anomaly Score

Patient Profile

66

Avg Age

55%

Female

1.76

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