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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 →

Shelby LombardiNP

Nurse Practitioner · Visalia, CA 93277

NPI: 1114698602

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51

🔴 High Risk

Risk Flags

Very high opioid rate vs specialty peers95th percentile opioid prescribingHigh long-acting opioid rate vs peersOpioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

11,344

Total Claims

$1.3M

Drug Cost

783

Beneficiaries

$1,686

Cost/Patient

Risk Score Breakdown 51/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+18
Opioid rate (national percentile)+10
Long-acting opioid rate+8
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

+1297%

Opioid rate vs peers

52.8% vs 3.8% avg

+44%

Cost per patient vs peers

$1,686 vs $1,174 avg

+43%

Brand preference vs peers

12.6% 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.

Opioid Prescribing

52.8%

Opioid Rate

5,994

Opioid Claims

$920K

Opioid Cost

42.1%

Long-Acting Rate

This provider's opioid prescribing rate of 52.8% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

87% generic

Brand: 1,435 claims · $831K

Generic: 9,909 claims · $489K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Oxycodone Myristate361$214K
Hydrocodone Bitartrate299$144K
Hydrocodone Bitartrate318$136K
Buprenorphine500$129K
Lidocaine117$61K
Tapentadol Hcl59$60K
Buprenorphine104$59K
Buprenorphine Hcl100$53K
Hydrocodone/Acetaminophen2,247$42K
Lidocaine175$36K
Methylnaltrexone Bromide14$34K
Gabapentin1,462$31K
Naloxegol Oxalate50$26K
Tapentadol Hcl32$24K
Naldemedine Tosylate46$23K

Prescribing Profile

42

Unique Drugs

51.0

Anomaly Score

Patient Profile

70

Avg Age

70%

Female

1.57

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