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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 →

Tneshia RichardsRN, FNP-C

Nurse Practitioner · Sylva, NC 28779

NPI: 1295053510

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38

🟠 Elevated

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

Exclusion type: 1128b4 · Date: 20250720 · State: NC

Risk Flags

Elevated antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberOIG Excluded Provider

Risk indicators are statistical patterns, not allegations. Learn more

7,131

Total Claims

$914K

Drug Cost

444

Beneficiaries

$2,059

Cost/Patient

Risk Score Breakdown 38/100

Low (0)Moderate (15)Elevated (30)High (50+)
OIG excluded provider+20
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

+15%

Opioid rate vs peers

4.4% vs 3.8% avg

+75%

Cost per patient vs peers

$2,059 vs $1,174 avg

+51%

Brand preference vs peers

13.4% 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.

Opioid Prescribing

4.4%

Opioid Rate

311

Opioid Claims

$7,655

Opioid Cost

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 951 claims · $768K

Generic: 6,130 claims · $144K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide81$108K
Apixaban86$70K
Fluticasone/Umeclidin/Vilanter40$56K
Empagliflozin44$44K
Cariprazine Hcl25$37K
Dulaglutide23$31K
Tirzepatide23$30K
Rivaroxaban24$29K
Dapagliflozin Propanediol30$29K
Semaglutide12$28K
Insulin Degludec18$25K
Linaclotide27$24K
Budesonide/Formoterol Fumarate25$16K
Insulin Glargine,hum.Rec.Anlog21$16K
Ipratropium/Albuterol Sulfate12$13K

Prescribing Profile

137

Unique Drugs

$200K

IRA Negotiated Drugs

$197K

GLP-1 Drugs

38.0

Anomaly Score

Patient Profile

70

Avg Age

63%

Female

1.19

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