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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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Michelle ManuelNP

Nurse Practitioner · Mountain City, TN 37683

NPI: 1215431861

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21

🟡 Moderate

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

Exclusion type: 1128b4 · Date: 20241120 · State: TN

Risk Flags

OIG Excluded Provider

Risk indicators are statistical patterns, not allegations. Learn more

2,195

Total Claims

$209K

Drug Cost

355

Beneficiaries

$588

Cost/Patient

Risk Score Breakdown 21/100

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

-50%

Cost per patient vs peers

$588 vs $1,174 avg

+61%

Brand preference vs peers

14.3% vs 8.9% avg

Brand vs Generic

86% generic

Brand: 309 claims · $168K

Generic: 1,853 claims · $39K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban33$35K
Empagliflozin19$19K
Insulin Glargine,hum.Rec.Anlog23$16K
Exenatide Microspheres11$13K
Salmeterol Xinafoate19$12K
Fluticasone Propion/Salmeterol13$5,572
Olodaterol Hcl13$3,519
Levothyroxine Sodium113$2,189
Albuterol Sulfate50$1,996
Atorvastatin Calcium153$1,878
Omeprazole104$1,876
Potassium Chloride40$1,446
Nitrofurantoin Monohyd/M-Cryst53$1,046
Losartan Potassium48$899
Lisinopril108$839

Prescribing Profile

54

Unique Drugs

$54K

IRA Negotiated Drugs

21.0

Anomaly Score

Patient Profile

72

Avg Age

66%

Female

1.32

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