⚠️

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 →

Jacqueline PapaliosFNP-C

Nurse Practitioner · Dayton, OH 45432

NPI: 1154867794

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49

🟠 Elevated

Risk Flags

Extreme opioid rate vs specialty peers95th percentile opioid prescribingHigh long-acting opioid rate vs peers

Risk indicators are statistical patterns, not allegations. Learn more

6,134

Total Claims

$427K

Drug Cost

412

Beneficiaries

$1,038

Cost/Patient

Risk Score Breakdown 49/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+25
Opioid rate (national percentile)+10
Long-acting opioid rate+8

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

+1406%

Opioid rate vs peers

57.0% vs 3.8% avg

-12%

Cost per patient vs peers

$1,038 vs $1,174 avg

-13%

Brand preference vs peers

7.7% vs 8.9% avg

⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.

Opioid Prescribing

57.0%

Opioid Rate

3,494

Opioid Claims

$244K

Opioid Cost

29.4%

Long-Acting Rate

This provider's opioid prescribing rate of 57.0% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

92% generic

Brand: 472 claims · $250K

Generic: 5,662 claims · $178K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Oxycodone Hcl128$71K
Rimegepant Sulfate47$56K
Oxycodone Myristate73$47K
Oxycodone Hcl/Acetaminophen1,266$36K
Naloxegol Oxalate54$24K
Pregabalin310$22K
Gabapentin908$19K
Erenumab-Aooe22$17K
Fentanyl148$16K
Hydrocodone/Acetaminophen753$15K
Hydromorphone Hcl24$13K
Morphine Sulfate434$12K
Buprenorphine40$10K
Lubiprostone16$5,521
Buprenorphine Hcl11$4,212

Prescribing Profile

39

Unique Drugs

49.0

Anomaly Score

Patient Profile

65

Avg Age

69%

Female

1.96

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