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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.

Read our methodology →

Julie ZunigaFNP-C

Nurse Practitioner · El Paso, TX 79902

NPI: 1124262381

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15

🟡 Moderate

Risk Flags

Elevated antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

14,724

Total Claims

$1.6M

Drug Cost

1,241

Beneficiaries

$1,260

Cost/Patient

Risk Score Breakdown 15/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

-69%

Opioid rate vs peers

1.2% vs 3.8% avg

+7%

Cost per patient vs peers

$1,260 vs $1,174 avg

+47%

Brand preference vs peers

13.0% 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

1.2%

Opioid Rate

170

Opioid Claims

$2,717

Opioid Cost

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 1,892 claims · $1.2M

Generic: 12,668 claims · $320K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide108$142K
Apixaban126$135K
Sitagliptin Phosphate94$111K
Empagliflozin63$71K
Dulaglutide32$66K
Mirabegron74$59K
Tirzepatide46$56K
Dapagliflozin Propanediol47$54K
Rivaroxaban51$54K
Insulin Glargine,hum.Rec.Anlog59$47K
Semaglutide29$45K
Insulin Glargine,hum.Rec.Anlog26$22K
Insulin Lispro24$21K
Fluticasone/Vilanterol31$17K
Budesonide/Formoterol Fumarate38$17K

Prescribing Profile

168

Unique Drugs

$424K

IRA Negotiated Drugs

$325K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

76

Avg Age

61%

Female

1.15

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