⚠️

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 →

Joseph FrensleyMSN, APRN-C

Nurse Practitioner · Turlock, CA 95382

NPI: 1164997573

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40

🟠 Elevated

Risk Flags

Extreme opioid rate vs specialty peers95th percentile opioid prescribing

Risk indicators are statistical patterns, not allegations. Learn more

5,112

Total Claims

$350K

Drug Cost

518

Beneficiaries

$675

Cost/Patient

Risk Score Breakdown 40/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

+1368%

Opioid rate vs peers

55.5% vs 3.8% avg

-43%

Cost per patient vs peers

$675 vs $1,174 avg

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

🔎 Data Overview

⚠️

Opioid prescribing rate is 1,368% above the average for Nurse Practitioner providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.

Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.

Opioid Prescribing

55.5%

Opioid Rate

2,838

Opioid Claims

$150K

Opioid Cost

11.9%

Long-Acting Rate

This provider's opioid prescribing rate of 55.5% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 4,924 claims · $247K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Hydrocodone/Acetaminophen1,647$49K
Diclofenac Sodium216$36K
Buprenorphine Hcl/Naloxone Hcl127$33K
Oxycodone Hcl32$31K
Lidocaine141$30K
Buprenorphine78$22K
Oxycodone Hcl/Acetaminophen365$17K
Oxycodone Myristate19$12K
Gabapentin571$12K
Naloxone Hcl115$9,429
Buprenorphine Hcl/Naloxone Hcl11$9,069
Naloxegol Oxalate17$7,419
Pregabalin175$6,178
Oxycodone Hcl194$5,061
Varenicline Tartrate13$3,996

Prescribing Profile

32

Unique Drugs

40.0

Anomaly Score

Patient Profile

67

Avg Age

60%

Female

1.46

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