⚠️

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 →

Melissa SpencerNP

Nurse Practitioner · Rochester, NY 14621

NPI: 1073111738

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9

🟢 Low

Risk Flags

Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

10,341

Total Claims

$816K

Drug Cost

1,757

Beneficiaries

$464

Cost/Patient

Risk Score Breakdown 9/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

-60%

Opioid rate vs peers

1.5% vs 3.8% avg

-60%

Cost per patient vs peers

$464 vs $1,174 avg

-4%

Brand preference vs peers

8.5% 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

1.5%

Opioid Rate

156

Opioid Claims

$4,397

Opioid Cost

Long-Acting Rate

Brand vs Generic

92% generic

Brand: 876 claims · $566K

Generic: 9,389 claims · $246K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban96$83K
Dulaglutide53$68K
Sitagliptin Phosphate37$44K
Empagliflozin39$41K
Budesonide/Formoterol Fumarate55$24K
Insulin Glargine,hum.Rec.Anlog17$24K
Fluticasone/Umeclidin/Vilanter25$22K
Rivaroxaban12$17K
Atorvastatin Calcium665$12K
Fluticasone Propion/Salmeterol49$11K
Levothyroxine Sodium444$9,637
Duloxetine Hcl144$6,826
Albuterol Sulfate178$6,434
Fluticasone Propion/Salmeterol17$6,416
Ipratropium/Albuterol Sulfate13$6,400

Prescribing Profile

135

Unique Drugs

$186K

IRA Negotiated Drugs

$68K

GLP-1 Drugs

9.0

Anomaly Score

Patient Profile

74

Avg Age

60%

Female

1.14

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