⚠️

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 →

Nathan WendePHARM.D.

Pharmacist · Spokane, WA 99202

NPI: 1144381716

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30

🟠 Elevated

🤖 ML Fraud Detection Score: 88%

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

Learn more →

Risk Flags

High long-acting opioid rate vs peersHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

17,464

Total Claims

$1.9M

Drug Cost

2,848

Beneficiaries

$666

Cost/Patient

Risk Score Breakdown 30/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Long-acting opioid rate+8
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 21,761 Pharmacist providers

+36%

Cost per patient vs peers

$666 vs $489 avg

-87%

Brand preference vs peers

12.3% vs 91.9% 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

🤖

ML fraud detection score of 88% indicates prescribing patterns with significant similarity to confirmed fraud cases. 18 out of 20 decision trees flagged this provider.

⚠️

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

5.4%

Opioid Rate

951

Opioid Claims

$42K

Opioid Cost

13.7%

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 2,136 claims · $1.5M

Generic: 15,256 claims · $404K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban212$173K
Semaglutide90$107K
Fluticasone/Umeclidin/Vilanter83$87K
Empagliflozin85$84K
Rivaroxaban61$77K
Insulin Glargine,hum.Rec.Anlog107$72K
Insulin Aspart45$53K
Dulaglutide41$46K
Budesonide/Formoterol Fumarate79$40K
Dapagliflozin Propanediol34$36K
Tiotropium Bromide42$33K
Fluticasone/Vilanterol54$28K
Umeclidinium Brm/Vilanterol Tr25$20K
Sitagliptin Phosphate15$18K
Tiotropium Bromide20$17K

Prescribing Profile

178

Unique Drugs

$446K

IRA Negotiated Drugs

$153K

GLP-1 Drugs

30.0

Anomaly Score

Patient Profile

73

Avg Age

56%

Female

1.07

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