⚠️

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 →

Shelby Defaria

Nurse Practitioner · Warwick, RI 02886

NPI: 1376233817

Share:

48

🟠 Elevated

Risk Flags

Extreme opioid rate vs specialty peers99th percentile opioid prescribingHigh long-acting opioid rate vs peers

Risk indicators are statistical patterns, not allegations. Learn more

1,839

Total Claims

$223K

Drug Cost

597

Beneficiaries

$373

Cost/Patient

Risk Score Breakdown 48/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

+1697%

Opioid rate vs peers

68.0% vs 3.8% avg

-68%

Cost per patient vs peers

$373 vs $1,174 avg

+58%

Brand preference vs peers

14.0% vs 8.9% avg

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

🔎 Data Overview

⚠️

Opioid prescribing rate is 1,697% above the average for Nurse Practitioner providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.

Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.

Opioid Prescribing

68.0%

Opioid Rate

1,250

Opioid Claims

$149K

Opioid Cost

26.2%

Long-Acting Rate

This provider's opioid prescribing rate of 68.0% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

86% generic

Brand: 258 claims · $158K

Generic: 1,581 claims · $65K

Patient Profile

67

Avg Age

62%

Female

1.54

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