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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 →

Joy Sandy

Nurse Practitioner · Burton, MI 48529

NPI: 1013382357

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15

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

12,786

Total Claims

$2.1M

Drug Cost

821

Beneficiaries

$2,581

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

-23%

Opioid rate vs peers

2.9% vs 3.8% avg

+120%

Cost per patient vs peers

$2,581 vs $1,174 avg

+99%

Brand preference vs peers

17.7% 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

2.9%

Opioid Rate

370

Opioid Claims

$8,669

Opioid Cost

4.6%

Long-Acting Rate

Brand vs Generic

82% generic

Brand: 2,231 claims · $1.8M

Generic: 10,388 claims · $298K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide219$360K
Dulaglutide116$209K
Empagliflozin110$131K
Apixaban99$112K
Fluticasone/Umeclidin/Vilanter77$87K
Budesonide/Formoterol Fumarate103$75K
Sacubitril/Valsartan44$59K
Dapagliflozin Propanediol37$49K
Mirabegron42$48K
Insulin Glargine,hum.Rec.Anlog61$44K
Rivaroxaban46$42K
Umeclidinium Bromide52$31K
Ipratropium/Albuterol Sulfate30$28K
Umeclidinium Brm/Vilanterol Tr25$27K
Tiotropium Bromide27$25K

Prescribing Profile

162

Unique Drugs

$431K

IRA Negotiated Drugs

$569K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

68

Avg Age

63%

Female

2.17

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