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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.

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Karen RothANP-BC, ACHPN

Nurse Practitioner · Newark, NY 14513

NPI: 1093714784

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12

🟢 Low

Risk Flags

High antipsychotic prescribing (65+)

Risk indicators are statistical patterns, not allegations. Learn more

9,641

Total Claims

$505K

Drug Cost

1,326

Beneficiaries

$381

Cost/Patient

Risk Score Breakdown 12/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

-90%

Opioid rate vs peers

0.4% vs 3.8% avg

-68%

Cost per patient vs peers

$381 vs $1,174 avg

-4%

Brand preference vs peers

8.5% vs 8.9% avg

Opioid Prescribing

0.4%

Opioid Rate

38

Opioid Claims

$421

Opioid Cost

Long-Acting Rate

Brand vs Generic

92% generic

Brand: 818 claims · $323K

Generic: 8,769 claims · $179K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban98$77K
Sitagliptin Phosphate28$25K
Rivaroxaban21$22K
Semaglutide16$20K
Insulin Glargine,hum.Rec.Anlog33$18K
Dapagliflozin Propanediol16$14K
Empagliflozin13$13K
Ipratropium/Albuterol Sulfate13$12K
Levothyroxine Sodium553$11K
Atorvastatin Calcium693$11K
Umeclidinium Brm/Vilanterol Tr15$7,313
Fluticasone Propion/Salmeterol15$7,304
Gabapentin244$5,568
Albuterol Sulfate160$5,511
Omeprazole362$5,321

Prescribing Profile

130

Unique Drugs

$151K

IRA Negotiated Drugs

$20K

GLP-1 Drugs

12.0

Anomaly Score

Patient Profile

72

Avg Age

63%

Female

1.38

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