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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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Idania MartinezAPRN

Nurse Practitioner · Hialeah, FL 33014

NPI: 1114583218

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17

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Extreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

22,142

Total Claims

$714K

Drug Cost

591

Beneficiaries

$1,208

Cost/Patient

Risk Score Breakdown 17/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

-98%

Opioid rate vs peers

0.1% vs 3.8% avg

+3%

Cost per patient vs peers

$1,208 vs $1,174 avg

-21%

Brand preference vs peers

7.0% vs 8.9% avg

Opioid Prescribing

0.1%

Opioid Rate

20

Opioid Claims

$57

Opioid Cost

Long-Acting Rate

Brand vs Generic

93% generic

Brand: 1,523 claims · $486K

Generic: 20,228 claims · $214K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Rivaroxaban112$62K
Insulin Glargine,hum.Rec.Anlog135$56K
Apixaban93$52K
Dulaglutide46$43K
Sacubitril/Valsartan52$38K
Insulin Glargine,hum.Rec.Anlog76$31K
Insulin Detemir70$24K
Sitagliptin Phosphate35$23K
Fluticasone Propion/Salmeterol81$19K
Sitagliptin Phos/Metformin Hcl27$13K
Ezetimibe187$11K
Atorvastatin Calcium2,121$10K
Insulin Glargine,hum.Rec.Anlog22$10K
Levothyroxine Sodium718$9,917
Fluticasone/Umeclidin/Vilanter15$9,251

Prescribing Profile

164

Unique Drugs

$182K

IRA Negotiated Drugs

$43K

GLP-1 Drugs

17.0

Anomaly Score

Patient Profile

74

Avg Age

62%

Female

2.06

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