⚠️

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 →

Susan BaileyF-NP

Nurse Practitioner · Phoenix, AZ 85037

NPI: 1164892394

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34

🟠 Elevated

Risk Flags

Very high opioid rate vs specialty peers95th percentile opioid prescribingElevated long-acting opioid rate

Risk indicators are statistical patterns, not allegations. Learn more

2,906

Total Claims

$176K

Drug Cost

269

Beneficiaries

$653

Cost/Patient

Risk Score Breakdown 34/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+18
Opioid rate (national percentile)+10
Long-acting opioid rate+4

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

+1285%

Opioid rate vs peers

52.4% vs 3.8% avg

-44%

Cost per patient vs peers

$653 vs $1,174 avg

-19%

Brand preference vs peers

7.2% vs 8.9% avg

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

Opioid Prescribing

52.4%

Opioid Rate

1,522

Opioid Claims

$75K

Opioid Cost

17.2%

Long-Acting Rate

This provider's opioid prescribing rate of 52.4% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

93% generic

Brand: 208 claims · $87K

Generic: 2,698 claims · $89K

Patient Profile

66

Avg Age

67%

Female

2.03

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