⚠️

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 →

Tonya MaxwellFNP

Nurse Practitioner · Richmond, TX 77407

NPI: 1144277500

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24

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

13,945

Total Claims

$938K

Drug Cost

478

Beneficiaries

$1,963

Cost/Patient

Risk Score Breakdown 24/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

-57%

Opioid rate vs peers

1.6% vs 3.8% avg

+67%

Cost per patient vs peers

$1,963 vs $1,174 avg

+5%

Brand preference vs peers

9.3% 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

1.6%

Opioid Rate

227

Opioid Claims

$4,162

Opioid Cost

Long-Acting Rate

Brand vs Generic

91% generic

Brand: 1,292 claims · $635K

Generic: 12,621 claims · $301K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban199$133K
Rivaroxaban62$48K
Sitagliptin Phosphate67$47K
Sucroferric Oxyhydroxide12$39K
Mirabegron96$39K
Empagliflozin18$28K
Memantine Hcl412$24K
Budesonide/Formoterol Fumarate26$15K
Tiotropium Bromide21$14K
Dapagliflozin Propanediol24$12K
Linaclotide33$11K
Levothyroxine Sodium667$9,988
Sacubitril/Valsartan30$9,824
Vortioxetine Hydrobromide40$9,785
Memantine Hcl110$9,031

Prescribing Profile

160

Unique Drugs

$278K

IRA Negotiated Drugs

24.0

Anomaly Score

Patient Profile

84

Avg Age

75%

Female

1.82

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