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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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Roberta TaillonNP

Nurse Practitioner · San Antonio, TX 78224

NPI: 1326423435

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20

🟡 Moderate

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

Exclusion type: 1128b4 · Date: 20250120 · State: TX

Risk Flags

OIG Excluded Provider

Risk indicators are statistical patterns, not allegations. Learn more

1,225

Total Claims

$191K

Drug Cost

353

Beneficiaries

$542

Cost/Patient

Risk Score Breakdown 20/100

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

-72%

Opioid rate vs peers

1.1% vs 3.8% avg

-54%

Cost per patient vs peers

$542 vs $1,174 avg

+48%

Brand preference vs peers

13.1% vs 8.9% avg

Opioid Prescribing

1.1%

Opioid Rate

13

Opioid Claims

$88

Opioid Cost

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 157 claims · $169K

Generic: 1,038 claims · $21K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban19$20K
Insulin Glargine,hum.Rec.Anlog13$8,022
Pantoprazole Sodium55$1,372
Fluticasone Propionate54$791
Gabapentin31$780
Losartan Potassium40$778
Albuterol Sulfate27$767
Atorvastatin Calcium62$720
Rosuvastatin Calcium32$719
Omeprazole30$662
Esomeprazole Magnesium11$605
Buspirone Hcl15$561
Montelukast Sodium31$559
Duloxetine Hcl19$516
Metoprolol Succinate19$514

Prescribing Profile

29

Unique Drugs

$20K

IRA Negotiated Drugs

20.0

Anomaly Score

Patient Profile

73

Avg Age

72%

Female

2.20

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