⚠️

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 →

Karen CuetoNP

Nurse Practitioner · Scotch Plains, NJ 07076

NPI: 1003092933

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19

🟡 Moderate

🤖 ML Fraud Detection Score: 92%

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

Learn more →

Risk Flags

High long-acting opioid rate vs peersOpioid + benzodiazepine co-prescriberLow drug diversity

Risk indicators are statistical patterns, not allegations. Learn more

417

Total Claims

$17K

Drug Cost

108

Beneficiaries

$154

Cost/Patient

Risk Score Breakdown 19/100

Low (0)Moderate (15)Elevated (30)High (50+)
Long-acting opioid rate+8
Opioid + benzodiazepine combo+8
Low drug diversity+3

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

+382%

Opioid rate vs peers

18.2% vs 3.8% avg

-87%

Cost per patient vs peers

$154 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

🤖

ML fraud detection score of 92% indicates prescribing patterns with significant similarity to confirmed fraud cases. 18 out of 20 decision trees flagged this provider.

💊

Opioid rate is 382% above Nurse Practitioner peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.

⚠️

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.

📊

Prescribes only 10 unique drugs, which is unusually low. Most providers prescribe 30+ different medications. Narrow prescribing patterns deserve context about the provider's practice scope.

Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.

Opioid Prescribing

18.2%

Opioid Rate

76

Opioid Claims

$4,834

Opioid Cost

21.1%

Long-Acting Rate

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 381 claims · $9,122

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Tramadol Hcl23$1,276
Fentanyl11$957
Oxycodone Hcl22$651
Mirtazapine27$647
Nystatin13$392
Sertraline Hcl33$347
Alprazolam33$282
Quetiapine Fumarate12$267
Lorazepam17$221
Ciprofloxacin Hcl12$100

Prescribing Profile

10

Unique Drugs

19.0

Anomaly Score

Patient Profile

84

Avg Age

66%

Female

2.86

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