⚠️

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 →

Caterina Goldberg-DunnettDNP FNP-C PMHNP-BC

Nurse Practitioner · Spring Hill, FL 34609

NPI: 1134469810

Share:

33

🟠 Elevated

🤖 ML Fraud Detection Score: Very High

Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.

Learn more →

Risk Flags

High cost outlier (population + peer)High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

9,982

Total Claims

$973K

Drug Cost

131

Beneficiaries

$7,427

Cost/Patient

Risk Score Breakdown 33/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
Cost per patient outlier+6
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

-86%

Opioid rate vs peers

0.5% vs 3.8% avg

+532%

Cost per patient vs peers

$7,427 vs $1,174 avg

+11%

Brand preference vs peers

9.8% 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

🤖

Our machine learning model — trained on 281 confirmed fraud cases — gives this provider a "Very High" fraud-pattern score. All 20 decision trees in our ensemble model agree that this provider's prescribing patterns resemble those of confirmed fraud cases. This is a statistical finding, not an accusation.

💰

Cost per patient is 532% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.

⚠️

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

0.5%

Opioid Rate

54

Opioid Claims

$1,129

Opioid Cost

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 974 claims · $661K

Generic: 8,960 claims · $310K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Deutetrabenazine31$218K
Semaglutide64$69K
Apixaban74$42K
Fluticasone/Umeclidin/Vilanter42$28K
Aripiprazole30$26K
Budesonide/Formoterol Fumarate57$22K
Aripiprazole130$20K
Semaglutide20$19K
Olanzapine90$18K
Fluticasone/Vilanterol38$16K
Ipratropium Bromide22$11K
Budesonide/Glycopyr/Formoterol16$10K
Linaclotide12$8,742
Budesonide/Formoterol Fumarate26$8,147
Empagliflozin13$8,069

Prescribing Profile

150

Unique Drugs

$51K

IRA Negotiated Drugs

$89K

GLP-1 Drugs

33.0

Anomaly Score

Patient Profile

73

Avg Age

54%

Female

2.40

Avg Risk Score

Explore More

Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About