⚠️

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 →

Kristin NelsonM.D.

Internal Medicine · Dubuque, IA 52001

NPI: 1023078698

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9

🟢 Low

Risk Flags

Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

14,463

Total Claims

$1.2M

Drug Cost

802

Beneficiaries

$1,558

Cost/Patient

Risk Score Breakdown 9/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-72%

Opioid rate vs peers

0.6% vs 2.2% avg

+10%

Cost per patient vs peers

$1,558 vs $1,411 avg

+36%

Brand preference vs peers

14.5% vs 10.6% 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

0.6%

Opioid Rate

92

Opioid Claims

$1,323

Opioid Cost

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 2,085 claims · $1.0M

Generic: 12,327 claims · $213K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dulaglutide139$205K
Empagliflozin194$182K
Apixaban175$162K
Rivaroxaban106$83K
Canagliflozin56$63K
Semaglutide54$61K
Sitagliptin Phosphate21$32K
Tiotropium Bromide21$24K
Atorvastatin Calcium1,503$20K
Varicella-Zoster Ge/As01b/Pf86$18K
Insulin Glargine,hum.Rec.Anlog15$16K
Evolocumab17$14K
Carbidopa/Levodopa12$13K
Insulin Detemir11$13K
Losartan Potassium732$11K

Prescribing Profile

131

Unique Drugs

$469K

IRA Negotiated Drugs

$276K

GLP-1 Drugs

9.0

Anomaly Score

Patient Profile

76

Avg Age

83%

Female

1.03

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