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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 →

Marislene Delva

Physician Assistant · Taylor, MI 48180

NPI: 1144603721

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49

🟠 Elevated

🚫 This provider appears on the OIG List of Excluded Individuals/Entities (LEIE)

Exclusion type: 1128a1 · Date: 20251020 · State: MI

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberOIG Excluded Providerextreme_fills_per_patient

Risk indicators are statistical patterns, not allegations. Learn more

16,990

Total Claims

$1.2M

Drug Cost

374

Beneficiaries

$3,163

Cost/Patient

Risk Score Breakdown 49/100

Low (0)Moderate (15)Elevated (30)High (50+)
OIG excluded provider+20
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 109,535 Physician Assistant providers

+17%

Opioid rate vs peers

10.8% vs 9.2% avg

+340%

Cost per patient vs peers

$3,163 vs $719 avg

+79%

Brand preference vs peers

11.9% vs 6.7% 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

10.8%

Opioid Rate

1,827

Opioid Claims

$51K

Opioid Cost

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 1,998 claims · $731K

Generic: 14,756 claims · $442K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Budesonide/Formoterol Fumarate252$106K
Bictegrav/Emtricit/Tenofov Ala22$91K
Paliperidone Palmitate13$29K
Acetaminophen With Codeine895$28K
Naproxen299$28K
Sacubitril/Valsartan26$23K
Albuterol Sulfate380$23K
Apixaban37$23K
Diclofenac Potassium36$22K
Albuterol Sulfate500$22K
Empagliflozin34$21K
Esomeprazole Magnesium165$21K
Fluticasone/Vilanterol47$20K
Fluticasone Propion/Salmeterol41$19K
Cariprazine Hcl13$19K

Prescribing Profile

169

Unique Drugs

$106K

IRA Negotiated Drugs

49.0

Anomaly Score

Patient Profile

65

Avg Age

49%

Female

2.20

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