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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 →

Kelsey NylanderD.O.

Family Practice · Spearfish, SD 57783

NPI: 1124345103

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24

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

10,462

Total Claims

$639K

Drug Cost

462

Beneficiaries

$1,384

Cost/Patient

Risk Score Breakdown 24/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

+56%

Opioid rate vs peers

4.0% vs 2.6% avg

+30%

Cost per patient vs peers

$1,384 vs $1,068 avg

+45%

Brand preference vs peers

13.0% 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

4.0%

Opioid Rate

420

Opioid Claims

$7,664

Opioid Cost

5.2%

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 1,357 claims · $434K

Generic: 9,055 claims · $202K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban217$96K
Rivaroxaban40$33K
Dulaglutide19$29K
Insulin Aspart26$24K
Insulin Detemir24$21K
Fluticasone/Umeclidin/Vilanter19$18K
Sitagliptin Phosphate11$13K
Insulin Degludec18$12K
Mirabegron33$12K
Insulin Glargine,hum.Rec.Anlog23$9,782
Potassium Chloride382$8,123
Pregabalin123$6,940
Insulin Glargine,hum.Rec.Anlog11$6,715
Umeclidinium Brm/Vilanterol Tr13$5,650
Diclofenac Sodium141$5,544

Prescribing Profile

138

Unique Drugs

$173K

IRA Negotiated Drugs

$29K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

81

Avg Age

76%

Female

1.56

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