⚠️

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 →

Kristin Spinelli

Nurse Practitioner · Perrysburg, OH 43551

NPI: 1134435027

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9

🟢 Low

ML Fraud Detection Score: 85%

Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.

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Risk Flags

Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

8,589

Total Claims

$865K

Drug Cost

855

Beneficiaries

$1,012

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

-66%

Opioid rate vs peers

1.3% vs 3.8% avg

-14%

Cost per patient vs peers

$1,012 vs $1,174 avg

+29%

Brand preference vs peers

11.4% 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

🤖

ML fraud detection score of 85% indicates prescribing patterns with significant similarity to confirmed fraud cases. 17 out of 20 decision trees flagged this provider.

⚠️

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

1.3%

Opioid Rate

112

Opioid Claims

$458

Opioid Cost

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 973 claims · $620K

Generic: 7,538 claims · $242K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin82$84K
Apixaban80$75K
Dulaglutide44$66K
Semaglutide28$63K
Rivaroxaban64$63K
Budesonide/Formoterol Fumarate39$28K
Sacubitril/Valsartan13$16K
Linaclotide13$11K
Tiotropium Br/Olodaterol Hcl14$11K
Insulin Lispro13$10K
Insulin Glargine,hum.Rec.Anlog18$9,979
Atorvastatin Calcium650$9,958
Fluticasone Propionate15$6,167
Metoprolol Succinate255$4,782
Duloxetine Hcl60$4,695

Prescribing Profile

122

Unique Drugs

$237K

IRA Negotiated Drugs

$129K

GLP-1 Drugs

9.0

Anomaly Score

Patient Profile

75

Avg Age

58%

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