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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 →

Annamaria PepitoneFNP-C

Nurse Practitioner · Shirley, NY 11967

NPI: 1003069709

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23

🟡 Moderate

🤖 ML Fraud Detection Score: 97%

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

Learn more →

Risk Flags

High opioid rate vs specialty peersElevated long-acting opioid rateOpioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

3,010

Total Claims

$245K

Drug Cost

341

Beneficiaries

$717

Cost/Patient

Risk Score Breakdown 23/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+10
Opioid + benzodiazepine combo+8
Long-acting opioid rate+4

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

+691%

Opioid rate vs peers

29.9% vs 3.8% avg

-39%

Cost per patient vs peers

$717 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.

🔎 Data Overview

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Our machine learning model — trained on 281 confirmed fraud cases — gives this provider a "Very High" fraud-pattern score. All 20 decision trees in our ensemble model agree that this provider's prescribing patterns resemble those of confirmed fraud cases. This is a statistical finding, not an accusation.

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Opioid prescribing rate is 691% above the average for Nurse Practitioner providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.

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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

29.9%

Opioid Rate

901

Opioid Claims

$74K

Opioid Cost

19.1%

Long-Acting Rate

This provider's opioid prescribing rate of 29.9% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 2,746 claims · $87K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Oxycodone Hcl30$21K
Oxycodone Hcl/Acetaminophen458$20K
Semaglutide15$17K
Buprenorphine Hcl/Naloxone Hcl90$17K
Buprenorphine Hcl/Naloxone Hcl29$16K
Oxycodone Myristate13$13K
Buprenorphine Hcl/Naloxone Hcl11$11K
Naloxegol Oxalate18$7,325
Hydrocodone/Acetaminophen152$5,451
Gabapentin222$4,067
Pregabalin77$3,350
Morphine Sulfate72$2,764
Buprenorphine Hcl43$2,685
Duloxetine Hcl67$2,343
Celecoxib46$1,549

Prescribing Profile

52

Unique Drugs

$17K

GLP-1 Drugs

23.0

Anomaly Score

Patient Profile

68

Avg Age

58%

Female

1.37

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