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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 →

Malcolm DuncanMSN, RN, PMHNP

Nurse Practitioner · Austin, TX 78723

NPI: 1033691746

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22

🟡 Moderate

Risk Flags

High cost outlier (population + peer)High antipsychotic prescribing (65+)High fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

9,783

Total Claims

$3.8M

Drug Cost

336

Beneficiaries

$11K

Cost/Patient

Risk Score Breakdown 22/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Cost per patient outlier+6
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

+865%

Cost per patient vs peers

$11K vs $1,174 avg

+23%

Brand preference vs peers

10.9% vs 8.9% avg

⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.

🔎 Data Overview

💰

Cost per patient is 865% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.

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

Brand vs Generic

89% generic

Brand: 1,071 claims · $3.4M

Generic: 8,712 claims · $422K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Deutetrabenazine237$1.5M
Aripiprazole Lauroxil228$771K
Paliperidone Palmitate97$235K
Olanzapine/Samidorphan Malate145$230K
Deutetrabenazine29$132K
Valbenazine Tosylate13$103K
Aripiprazole25$72K
Dextromethorphan Hbr/Quinidine45$72K
Aripiprazole469$64K
Divalproex Sodium552$53K
Cariprazine Hcl18$45K
Oxcarbazepine412$36K
Brexpiprazole19$30K
Iloperidone12$28K
Lurasidone Hcl11$18K

Prescribing Profile

67

Unique Drugs

22.0

Anomaly Score

Patient Profile

53

Avg Age

45%

Female

1.25

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