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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 →

Julianna LucasCNP

Nurse Practitioner · Beachwood, OH 44122

NPI: 1285181495

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15

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

18,004

Total Claims

$1.7M

Drug Cost

1,046

Beneficiaries

$1,647

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

-93%

Opioid rate vs peers

0.3% vs 3.8% avg

+40%

Cost per patient vs peers

$1,647 vs $1,174 avg

+49%

Brand preference vs peers

13.2% 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

0.3%

Opioid Rate

48

Opioid Claims

$259

Opioid Cost

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 2,349 claims · $1.4M

Generic: 15,411 claims · $289K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban199$174K
Dulaglutide148$171K
Semaglutide117$135K
Insulin Glargine,hum.Rec.Anlog179$93K
Empagliflozin60$67K
Fluticasone/Umeclidin/Vilanter75$62K
Rivaroxaban64$61K
Tirzepatide48$53K
Lipase/Protease/Amylase16$52K
Sitagliptin Phosphate41$49K
Sacubitril/Valsartan53$47K
Dapagliflozin Propanediol53$46K
Tiotropium Bromide56$37K
Budesonide/Formoterol Fumarate61$25K
Fluticasone/Vilanterol36$20K

Prescribing Profile

177

Unique Drugs

$462K

IRA Negotiated Drugs

$358K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

71

Avg Age

59%

Female

1.69

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