⚠️

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 →

Gwen VerlinghieriMSN, CRNP

Nurse Practitioner · Chester, PA 19013

NPI: 1376784397

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39

🟠 Elevated

Risk Flags

Extreme cost outlier (population + peer)High brand-name preferenceHigh long-acting opioid rate vs peersHigh antipsychotic prescribing (65+)Extreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

4,435

Total Claims

$3.8M

Drug Cost

132

Beneficiaries

$29K

Cost/Patient

Risk Score Breakdown 39/100

Low (0)Moderate (15)Elevated (30)High (50+)
Cost per patient outlier+10
Elderly antipsychotic prescribing+10
Long-acting opioid rate+8
High fills per patient+5
Brand-name preference+4

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

-93%

Opioid rate vs peers

0.3% vs 3.8% avg

+2374%

Cost per patient vs peers

$29K vs $1,174 avg

+309%

Brand preference vs peers

36.3% vs 8.9% avg

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

🔎 Data Overview

💰

Cost per patient is 2374% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.

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

Opioid Prescribing

0.3%

Opioid Rate

12

Opioid Claims

$3,615

Opioid Cost

100.0%

Long-Acting Rate

Brand vs Generic

64% generic

Brand: 1,599 claims · $3.8M

Generic: 2,809 claims · $81K

Patient Profile

60

Avg Age

41%

Female

1.69

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