⚠️

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 →

Debra DowellAPRN

Nurse Practitioner · New Smyrna Beach, FL 32168

NPI: 1013382134

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15

🟡 Moderate

ML Fraud Detection Score: 85%

Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.

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Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

10,239

Total Claims

$834K

Drug Cost

822

Beneficiaries

$1,015

Cost/Patient

Risk Score Breakdown 15/100

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

-57%

Opioid rate vs peers

1.6% vs 3.8% avg

-14%

Cost per patient vs peers

$1,015 vs $1,174 avg

+28%

Brand preference vs peers

11.3% 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

🤖

ML fraud detection score of 85% indicates prescribing patterns with significant similarity to confirmed fraud cases. 17 out of 20 decision trees flagged this provider.

⚠️

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

1.6%

Opioid Rate

166

Opioid Claims

$794

Opioid Cost

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 1,147 claims · $713K

Generic: 8,995 claims · $115K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban93$126K
Fluticasone/Umeclidin/Vilanter111$89K
Semaglutide31$73K
Rivaroxaban35$52K
Tirzepatide46$51K
Insulin Glargine,hum.Rec.Anlog40$29K
Budesonide/Formoterol Fumarate38$24K
Empagliflozin20$21K
Insulin Nph Hum/Reg Insulin Hm30$20K
Insulin Aspart14$18K
Albuterol Sulfate252$14K
Insulin Detemir13$14K
Sacubitril/Valsartan16$13K
Glycopyrrolate/Formoterol Fum15$9,426
Tiotropium Bromide13$8,368

Prescribing Profile

141

Unique Drugs

$230K

IRA Negotiated Drugs

$124K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

72

Avg Age

50%

Female

1.90

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