⚠️

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 →

Sandra SorianoRN, BSN, MSN, FNP-C

Nurse Practitioner · Riverside, CA 92506

NPI: 1083137269

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49

🟠 Elevated

Risk Flags

Extreme opioid rate vs specialty peers95th percentile opioid prescribingOpioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

5,792

Total Claims

$229K

Drug Cost

768

Beneficiaries

$298

Cost/Patient

Risk Score Breakdown 49/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+25
Opioid rate (national percentile)+10
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

+1447%

Opioid rate vs peers

58.5% vs 3.8% avg

-75%

Cost per patient vs peers

$298 vs $1,174 avg

-76%

Brand preference vs peers

2.1% vs 8.9% avg

⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.

⚠️ 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

⚠️

Opioid prescribing rate is 1,447% above the average for Nurse Practitioner providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.

⚠️

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

58.5%

Opioid Rate

3,388

Opioid Claims

$143K

Opioid Cost

10.6%

Long-Acting Rate

This provider's opioid prescribing rate of 58.5% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

98% generic

Brand: 121 claims · $53K

Generic: 5,671 claims · $175K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Hydrocodone/Acetaminophen1,830$38K
Tapentadol Hcl19$35K
Oxycodone Hcl/Acetaminophen532$15K
Gabapentin557$13K
Lidocaine96$13K
Diclofenac Sodium216$11K
Duloxetine Hcl177$8,787
Pregabalin289$7,258
Buprenorphine34$7,146
Hydrocodone Bitartrate12$6,519
Buprenorphine Hcl/Naloxone Hcl44$6,425
Fentanyl49$5,945
Naloxone Hcl57$4,215
Morphine Sulfate151$3,724
Tramadol Hcl39$3,006

Prescribing Profile

38

Unique Drugs

49.0

Anomaly Score

Patient Profile

72

Avg Age

66%

Female

2.01

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