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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 →

Cindi RuleARNP

Nurse Practitioner · Ireton, IA 51027

NPI: 1003006610

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12

🟢 Low

🤖 ML Fraud Detection Score: 98%

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

Learn more →

Risk Flags

Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

3,525

Total Claims

$159K

Drug Cost

120

Beneficiaries

$1,321

Cost/Patient

Risk Score Breakdown 12/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

-59%

Opioid rate vs peers

1.5% vs 3.8% avg

+12%

Cost per patient vs peers

$1,321 vs $1,174 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.

Opioid Prescribing

1.5%

Opioid Rate

54

Opioid Claims

$322

Opioid Cost

Long-Acting Rate

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 3,313 claims · $34K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin16$14K
Exenatide Microspheres15$13K
Tirzepatide11$12K
Linagliptin16$11K
Apixaban15$8,414
Sitagliptin Phosphate14$8,366
Varicella-Zoster Ge/As01b/Pf23$4,974
Rosuvastatin Calcium136$2,023
Atorvastatin Calcium175$1,416
Lisinopril195$1,196
Tamsulosin Hcl110$1,114
Levothyroxine Sodium153$1,083
Celecoxib64$919
Metoprolol Succinate62$899
Fenofibrate,micronized55$873

Prescribing Profile

76

Unique Drugs

$31K

IRA Negotiated Drugs

$12K

GLP-1 Drugs

12.0

Anomaly Score

Patient Profile

74

Avg Age

56%

Female

0.80

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.Methodology · About