⚠️

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 →

Jeffrey Guse

Nurse Practitioner · Waterloo, IA 50701

NPI: 1063827798

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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

13,789

Total Claims

$1.9M

Drug Cost

546

Beneficiaries

$3,495

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

-31%

Opioid rate vs peers

2.6% vs 3.8% avg

+198%

Cost per patient vs peers

$3,495 vs $1,174 avg

+82%

Brand preference vs peers

16.2% 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

2.6%

Opioid Rate

359

Opioid Claims

$5,363

Opioid Cost

5.8%

Long-Acting Rate

Brand vs Generic

84% generic

Brand: 2,208 claims · $1.7M

Generic: 11,439 claims · $220K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dulaglutide157$224K
Semaglutide139$153K
Empagliflozin142$142K
Apixaban139$117K
Sitagliptin Phosphate86$90K
Rivaroxaban51$62K
Insulin Glargine,hum.Rec.Anlog56$53K
Liraglutide33$50K
Fluticasone/Umeclidin/Vilanter65$49K
Tirzepatide41$47K
Canagliflozin37$46K
Semaglutide31$38K
Insulin Degludec44$29K
Liraglutide27$27K
Tiotropium Bromide41$21K

Prescribing Profile

180

Unique Drugs

$438K

IRA Negotiated Drugs

$538K

GLP-1 Drugs

18.0

Anomaly Score

Patient Profile

71

Avg Age

44%

Female

1.41

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