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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.

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Michael BaileyFNP-BC

Nurse Practitioner · Warrensburg, NY 12885

NPI: 1184663445

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20

🟡 Moderate

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

Exclusion type: 1128b4 · Date: 20251218 · State: NY

Risk Flags

OIG Excluded Provider

Risk indicators are statistical patterns, not allegations. Learn more

1,323

Total Claims

$120K

Drug Cost

321

Beneficiaries

$374

Cost/Patient

Risk Score Breakdown 20/100

Low (0)Moderate (15)Elevated (30)High (50+)
OIG excluded provider+20

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

-68%

Cost per patient vs peers

$374 vs $1,174 avg

+29%

Brand preference vs peers

11.4% vs 8.9% avg

Opioid Prescribing

3.8%

Opioid Rate

50

Opioid Claims

$722

Opioid Cost

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 148 claims · $94K

Generic: 1,148 claims · $25K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban37$39K
Insulin Glargine,hum.Rec.Anlog12$4,461
Albuterol Sulfate30$1,242
Tamsulosin Hcl21$694
Trazodone Hcl16$671
Gabapentin29$640
Metoprolol Succinate30$467
Doxycycline Hyclate31$431
Levothyroxine Sodium37$426
Ropinirole Hcl13$412
Amlodipine Besylate37$405
Atorvastatin Calcium47$402
Famotidine18$362
Metformin Hcl15$341
Oxycodone Hcl11$339

Prescribing Profile

38

Unique Drugs

$39K

IRA Negotiated Drugs

20.0

Anomaly Score

Patient Profile

70

Avg Age

58%

Female

1.08

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