⚠️

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 →

Michele WashowichCRNP-BC

Nurse Practitioner · Pittsburgh, PA 15236

NPI: 1205110897

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36

🟠 Elevated

🤖 ML Fraud Detection Score: 95%

Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.

Learn more →

Risk Flags

High long-acting opioid rate vs peersHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

20,295

Total Claims

$735K

Drug Cost

201

Beneficiaries

$3,658

Cost/Patient

Risk Score Breakdown 36/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Long-acting opioid rate+8
Opioid + benzodiazepine combo+8
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

-70%

Opioid rate vs peers

1.1% vs 3.8% avg

+211%

Cost per patient vs peers

$3,658 vs $1,174 avg

+20%

Brand preference vs peers

10.7% vs 8.9% avg

⚠️ Opioid + Benzodiazepine Co-Prescriber

This provider prescribes both opioids and benzodiazepines. The FDA has issued a Black Box Warning about the life-threatening risks of concurrent use.

🔎 Data Overview

🤖

Our machine learning model — trained on 281 confirmed fraud cases — gives this provider a "Very High" fraud-pattern score. All 20 decision trees in our ensemble model agree that this provider's prescribing patterns resemble those of confirmed fraud cases. This is a statistical finding, not an accusation.

⚠️

This provider co-prescribes opioids and benzodiazepines — a combination carrying an FDA Black Box Warning due to increased risk of respiratory depression and death. While sometimes clinically necessary, this combination requires careful justification.

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

Opioid Prescribing

1.1%

Opioid Rate

232

Opioid Claims

$15K

Opioid Cost

50.0%

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 2,154 claims · $645K

Generic: 18,065 claims · $87K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Abatacept19$104K
Dulaglutide89$85K
Apixaban448$76K
Rivaroxaban160$32K
Empagliflozin154$23K
Leuprolide Acetate11$22K
Fluticasone/Umeclidin/Vilanter29$19K
Linagliptin94$14K
Tiotropium Br/Olodaterol Hcl27$13K
Sacubitril/Valsartan89$12K
Lipase/Protease/Amylase42$11K
Insulin Glargine,hum.Rec.Anlog30$11K
Buprenorphine48$10K
Gabapentin Enacarbil42$9,483
Brexpiprazole28$9,467

Prescribing Profile

153

Unique Drugs

$149K

IRA Negotiated Drugs

$85K

GLP-1 Drugs

36.0

Anomaly Score

Patient Profile

76

Avg Age

65%

Female

3.08

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