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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.

Read our methodology →

Raymond KetchamFNP

Nurse Practitioner · Scottsdale, AZ 85255

NPI: 1285108514

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62

🔴 High Risk

🤖 ML Fraud Detection Score: 84%

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

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Risk Flags

Extreme opioid rate vs specialty peers95th percentile opioid prescribingHigh long-acting opioid rate vs peersOpioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

5,738

Total Claims

$517K

Drug Cost

275

Beneficiaries

$1,881

Cost/Patient

Risk Score Breakdown 62/100

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
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

+1523%

Opioid rate vs peers

61.4% vs 3.8% avg

+60%

Cost per patient vs peers

$1,881 vs $1,174 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

61.4%

Opioid Rate

3,522

Opioid Claims

$385K

Opioid Cost

27.2%

Long-Acting Rate

This provider's opioid prescribing rate of 61.4% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 5,121 claims · $184K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Buprenorphine Hcl102$97K
Oxycodone Hcl131$63K
Oxycodone Myristate108$58K
Oxycodone Hcl1,732$56K
Hydrocodone Bitartrate20$37K
Buprenorphine Hcl/Naloxone Hcl68$17K
Buprenorphine14$14K
Naloxone Hcl150$13K
Naloxegol Oxalate25$11K
Oxycodone Hcl/Acetaminophen222$9,650
Morphine Sulfate412$9,484
Buprenorphine21$9,078
Morphine Sulfate171$9,042
Hydrocodone/Acetaminophen296$7,382
Fentanyl67$6,910

Prescribing Profile

51

Unique Drugs

62.0

Anomaly Score

Patient Profile

65

Avg Age

59%

Female

1.60

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