⚠️

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 →

Joy HesselFNP

Nurse Practitioner · Cadott, WI 54727

NPI: 1134439888

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15

🟡 Moderate

ML Fraud Detection Score: 86%

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

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

Risk indicators are statistical patterns, not allegations. Learn more

10,183

Total Claims

$605K

Drug Cost

627

Beneficiaries

$965

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

-50%

Opioid rate vs peers

1.9% vs 3.8% avg

-18%

Cost per patient vs peers

$965 vs $1,174 avg

+25%

Brand preference vs peers

11.0% 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

🤖

ML fraud detection score of 86% 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

1.9%

Opioid Rate

193

Opioid Claims

$4,461

Opioid Cost

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 1,117 claims · $435K

Generic: 8,994 claims · $166K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban74$61K
Semaglutide32$40K
Sitagliptin Phosphate32$37K
Insulin Glargine,hum.Rec.Anlog69$35K
Empagliflozin41$35K
Linaclotide59$30K
Rivaroxaban27$30K
Insulin Glargine-Yfgn61$22K
Fluticasone Propion/Salmeterol28$14K
Fluticasone/Umeclidin/Vilanter15$12K
Insulin Detemir20$10K
Fluticasone/Vilanterol16$9,921
Budesonide/Formoterol Fumarate19$7,473
Mirabegron11$7,464
Levothyroxine Sodium498$6,732

Prescribing Profile

133

Unique Drugs

$162K

IRA Negotiated Drugs

$40K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

69

Avg Age

57%

Female

1.06

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