⚠️

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 →

Nicole PashekARNP

Nurse Practitioner · The Dalles, OR 97058

NPI: 1043241144

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21

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

9,863

Total Claims

$696K

Drug Cost

525

Beneficiaries

$1,325

Cost/Patient

Risk Score Breakdown 21/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

+31%

Opioid rate vs peers

5.0% vs 3.8% avg

+13%

Cost per patient vs peers

$1,325 vs $1,174 avg

+42%

Brand preference vs peers

12.6% 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

5.0%

Opioid Rate

489

Opioid Claims

$10K

Opioid Cost

7.4%

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 1,231 claims · $470K

Generic: 8,530 claims · $217K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban189$100K
Empagliflozin47$38K
Rivaroxaban67$33K
Insulin Aspart30$31K
Insulin Glargine,hum.Rec.Anlog57$28K
Fluticasone/Umeclidin/Vilanter14$22K
Insulin Glargine,hum.Rec.Anlog55$17K
Semaglutide14$15K
Testosterone15$12K
Insulin Glargine,hum.Rec.Anlog25$10K
Tiotropium Bromide18$9,752
Rosuvastatin Calcium190$9,678
Insulin Aspart23$9,515
Fluticasone Propion/Salmeterol15$9,508
Budesonide/Formoterol Fumarate28$8,842

Prescribing Profile

136

Unique Drugs

$217K

IRA Negotiated Drugs

$15K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

79

Avg Age

63%

Female

1.39

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