⚠️

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 →

Joyce MirandaARNP, APRN, FNP-C

Nurse Practitioner · Everett, WA 98204

NPI: 1184021610

Share:𝕏fin

55

🔴 High Risk

Risk Flags

Extreme opioid rate vs specialty peers95th percentile opioid prescribingHigh long-acting opioid rate vs peersElevated antipsychotic prescribing (65+)

Risk indicators are statistical patterns, not allegations. Learn more

5,532

Total Claims

$195K

Drug Cost

310

Beneficiaries

$629

Cost/Patient

Risk Score Breakdown 55/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+25
Opioid rate (national percentile)+10
Long-acting opioid rate+8
Elderly antipsychotic prescribing+5

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

+1589%

Opioid rate vs peers

63.9% vs 3.8% avg

-46%

Cost per patient vs peers

$629 vs $1,174 avg

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

Opioid Prescribing

63.9%

Opioid Rate

3,535

Opioid Claims

$127K

Opioid Cost

23.1%

Long-Acting Rate

This provider's opioid prescribing rate of 63.9% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 5,360 claims · $149K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Hydrocodone/Acetaminophen739$25K
Oxycodone Hcl1,002$20K
Buprenorphine43$19K
Oxycodone Hcl/Acetaminophen500$15K
Oxycodone Hcl24$12K
Morphine Sulfate547$12K
Naloxegol Oxalate12$7,925
Pregabalin188$6,876
Gabapentin314$6,479
Oxycodone Myristate11$6,008
Naloxone Hcl62$5,499
Buprenorphine Hcl/Naloxone Hcl34$5,051
Tramadol Hcl50$3,995
Tizanidine Hcl288$3,752
Buprenorphine Hcl50$3,382

Prescribing Profile

41

Unique Drugs

55.0

Anomaly Score

Patient Profile

70

Avg Age

64%

Female

1.69

Avg Risk Score

Explore More

Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About