⚠️

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 →

Kayla FullerMSN, APRN, FNP-BC

Nurse Practitioner · Malden, MO 63863

NPI: 1033790159

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18

🟡 Moderate

Risk Flags

Elevated antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

9,558

Total Claims

$927K

Drug Cost

472

Beneficiaries

$1,964

Cost/Patient

Risk Score Breakdown 18/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

-72%

Opioid rate vs peers

1.1% vs 3.8% avg

+67%

Cost per patient vs peers

$1,964 vs $1,174 avg

+59%

Brand preference vs peers

14.1% 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

1.1%

Opioid Rate

101

Opioid Claims

$857

Opioid Cost

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 1,334 claims · $796K

Generic: 8,156 claims · $129K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Fluticasone/Umeclidin/Vilanter110$82K
Dapagliflozin Propanediol97$75K
Semaglutide73$74K
Budesonide/Glycopyr/Formoterol95$68K
Brexpiprazole29$43K
Sitagliptin Phosphate49$35K
Dulaglutide28$28K
Empagliflozin36$27K
Apixaban35$23K
Budesonide/Formoterol Fumarate46$22K
Sacubitril/Valsartan30$19K
Semaglutide16$18K
Linaclotide25$15K
Mirabegron24$13K
Insulin Lispro14$11K

Prescribing Profile

152

Unique Drugs

$193K

IRA Negotiated Drugs

$121K

GLP-1 Drugs

18.0

Anomaly Score

Patient Profile

65

Avg Age

55%

Female

1.91

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