⚠️

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 →

David ZariktaCNP

Nurse Practitioner · Rio Rancho, NM 87124

NPI: 1073033650

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15

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

10,702

Total Claims

$797K

Drug Cost

901

Beneficiaries

$884

Cost/Patient

Risk Score Breakdown 15/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

-12%

Opioid rate vs peers

3.3% vs 3.8% avg

-25%

Cost per patient vs peers

$884 vs $1,174 avg

+15%

Brand preference vs peers

10.2% 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

3.3%

Opioid Rate

355

Opioid Claims

$5,273

Opioid Cost

7.9%

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 1,077 claims · $543K

Generic: 9,530 claims · $248K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide81$92K
Dulaglutide49$63K
Rivaroxaban30$39K
Fluticasone/Umeclidin/Vilanter52$38K
Apixaban18$24K
Linaclotide27$20K
Pregabalin161$20K
Insulin Degludec13$18K
Ubrogepant12$18K
Tiotropium Bromide14$16K
Insulin Glargine,hum.Rec.Anlog30$15K
Insulin Glargine,hum.Rec.Anlog27$13K
Fluticasone Propion/Salmeterol25$11K
Levothyroxine Sodium520$11K
Fluticasone Propionate24$11K

Prescribing Profile

133

Unique Drugs

$62K

IRA Negotiated Drugs

$155K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

74

Avg Age

50%

Female

1.11

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