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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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Spencer ManeyFNP-BC

Nurse Practitioner · Arden, NC 28704

NPI: 1255716445

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59

🔴 High Risk

Risk Flags

Extreme opioid rate vs specialty peers95th percentile opioid prescribingHigh long-acting opioid rate vs peersOpioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

5,696

Total Claims

$949K

Drug Cost

430

Beneficiaries

$2,206

Cost/Patient

Risk Score Breakdown 59/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

+1481%

Opioid rate vs peers

59.8% vs 3.8% avg

+88%

Cost per patient vs peers

$2,206 vs $1,174 avg

+56%

Brand preference vs peers

13.8% vs 8.9% avg

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

⚠️ 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.

Opioid Prescribing

59.8%

Opioid Rate

3,405

Opioid Claims

$544K

Opioid Cost

31.8%

Long-Acting Rate

This provider's opioid prescribing rate of 59.8% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

86% generic

Brand: 787 claims · $641K

Generic: 4,909 claims · $307K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Methylnaltrexone Bromide54$146K
Oxycodone Hcl141$97K
Oxycodone Hcl/Acetaminophen879$90K
Buprenorphine Hcl89$77K
Ubrogepant45$68K
Oxycodone Myristate91$65K
Atogepant28$38K
Tapentadol Hcl23$36K
Oxycodone Hcl/Acetaminophen12$34K
Naloxegol Oxalate58$28K
Morphine Sulfate599$23K
Lidocaine20$19K
Fentanyl79$15K
Oxycodone Hcl494$14K
Gabapentin310$12K

Prescribing Profile

45

Unique Drugs

59.0

Anomaly Score

Patient Profile

69

Avg Age

65%

Female

1.61

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