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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 →

Robert NicholsMD

Family Practice · Ottawa, KS 66067

NPI: 1063568673

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30

🟠 Elevated

🤖 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 peersHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

13,027

Total Claims

$1.3M

Drug Cost

805

Beneficiaries

$1,556

Cost/Patient

Risk Score Breakdown 30/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Long-acting opioid rate+8
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

+192%

Opioid rate vs peers

7.5% vs 2.6% avg

+46%

Cost per patient vs peers

$1,556 vs $1,068 avg

+54%

Brand preference vs peers

13.8% vs 9.0% 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

7.5%

Opioid Rate

982

Opioid Claims

$73K

Opioid Cost

27.1%

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 1,793 claims · $1.0M

Generic: 11,160 claims · $232K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide100$133K
Apixaban154$113K
Insulin Aspart44$56K
Rivaroxaban59$46K
Dulaglutide39$45K
Fluticasone/Umeclidin/Vilanter37$44K
Rsv Vacc, Pref A And Pref B/Pf131$41K
Dapagliflozin Propanediol30$37K
Mirabegron36$31K
Insulin Glargine,hum.Rec.Anlog21$29K
Oxycodone Hcl53$26K
Linaclotide41$26K
Umeclidinium Brm/Vilanterol Tr20$22K
Empagliflozin20$21K
Varicella-Zoster Ge/As01b/Pf99$20K

Prescribing Profile

166

Unique Drugs

$273K

IRA Negotiated Drugs

$178K

GLP-1 Drugs

30.0

Anomaly Score

Patient Profile

73

Avg Age

56%

Female

1.15

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