⚠️

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 →

Smita SikhrakarAGPCNP

Nurse Practitioner · Richland, WA 99352

NPI: 1124596762

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21

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

10,223

Total Claims

$681K

Drug Cost

752

Beneficiaries

$906

Cost/Patient

Risk Score Breakdown 21/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

+19%

Opioid rate vs peers

4.5% vs 3.8% avg

-23%

Cost per patient vs peers

$906 vs $1,174 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

4.5%

Opioid Rate

462

Opioid Claims

$9,284

Opioid Cost

Long-Acting Rate

Brand vs Generic

91% generic

Brand: 896 claims · $492K

Generic: 9,240 claims · $183K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban122$125K
Insulin Glargine,hum.Rec.Anlog59$28K
Semaglutide13$23K
Mirabegron22$23K
Empagliflozin15$21K
Sitagliptin Phosphate18$20K
Budesonide/Formoterol Fumarate32$18K
Tiotropium Bromide21$15K
Dulaglutide13$15K
Sacubitril/Valsartan13$11K
Fluticasone Propion/Salmeterol20$10K
Gabapentin397$8,304
Atorvastatin Calcium644$7,644
Memantine Hcl123$7,164
Levothyroxine Sodium537$6,452

Prescribing Profile

129

Unique Drugs

$177K

IRA Negotiated Drugs

$38K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

81

Avg Age

78%

Female

1.61

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