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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 →

Roberto CowleyARNP

Nurse Practitioner · Doral, FL 33172

NPI: 1245540376

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21

🟡 Moderate

Risk Flags

Elevated antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

18,333

Total Claims

$887K

Drug Cost

449

Beneficiaries

$1,975

Cost/Patient

Risk Score Breakdown 21/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

-94%

Opioid rate vs peers

0.2% vs 3.8% avg

+68%

Cost per patient vs peers

$1,975 vs $1,174 avg

-11%

Brand preference vs peers

7.9% 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

0.2%

Opioid Rate

39

Opioid Claims

$169

Opioid Cost

Long-Acting Rate

Brand vs Generic

92% generic

Brand: 1,423 claims · $418K

Generic: 16,704 claims · $460K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Ezetimibe505$101K
Insulin Glargine,hum.Rec.Anlog125$54K
Dabigatran Etexilate Mesylate166$49K
Sitagliptin Phosphate84$44K
Apixaban81$43K
Budesonide/Formoterol Fumarate169$42K
Rivaroxaban46$25K
Omega-3 Acid Ethyl Esters377$24K
Dabigatran Etexilate Mesylate114$22K
Fluticasone Propion/Salmeterol108$21K
Solifenacin Succinate142$21K
Dulaglutide21$19K
Insulin Aspart Prot/Insuln Asp73$18K
Dutasteride67$16K
Linaclotide27$13K

Prescribing Profile

156

Unique Drugs

$118K

IRA Negotiated Drugs

$19K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

77

Avg Age

56%

Female

2.04

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