⚠️

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 →

Brenda Hashem

Nurse Practitioner · Berkeley Springs, WV 25411

NPI: 1073983813

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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

9,666

Total Claims

$819K

Drug Cost

758

Beneficiaries

$1,081

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

-29%

Opioid rate vs peers

2.7% vs 3.8% avg

-8%

Cost per patient vs peers

$1,081 vs $1,174 avg

+14%

Brand preference vs peers

10.1% 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

2.7%

Opioid Rate

258

Opioid Claims

$3,271

Opioid Cost

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 964 claims · $629K

Generic: 8,583 claims · $180K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban66$69K
Semaglutide38$56K
Rivaroxaban40$40K
Linagliptin29$34K
Dulaglutide30$32K
Sitagliptin Phosphate33$29K
Dolutegravir Sodium12$28K
Fluticasone/Umeclidin/Vilanter18$27K
Insulin Glargine,hum.Rec.Anlog49$26K
Tiotropium Bromide26$21K
Empagliflozin15$19K
Fluticasone/Vilanterol21$19K
Cariprazine Hcl13$19K
Linaclotide15$12K
Insulin Detemir14$11K

Prescribing Profile

155

Unique Drugs

$164K

IRA Negotiated Drugs

$88K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

73

Avg Age

60%

Female

1.02

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