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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 →

April DamboiseCNP

Nurse Practitioner · Augusta, ME 04330

NPI: 1386212124

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55

🔴 High Risk

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

5,850

Total Claims

$1.0M

Drug Cost

436

Beneficiaries

$2,339

Cost/Patient

Risk Score Breakdown 55/100

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

+1820%

Opioid rate vs peers

72.6% vs 3.8% avg

+99%

Cost per patient vs peers

$2,339 vs $1,174 avg

+161%

Brand preference vs peers

23.1% vs 8.9% avg

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

Opioid Prescribing

72.6%

Opioid Rate

4,248

Opioid Claims

$926K

Opioid Cost

50.9%

Long-Acting Rate

This provider's opioid prescribing rate of 72.6% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

77% generic

Brand: 1,352 claims · $780K

Generic: 4,498 claims · $239K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Buprenorphine Hcl397$384K
Oxycodone Hcl297$173K
Buprenorphine301$95K
Oxycodone Myristate144$83K
Morphine Sulfate546$22K
Oxycodone Hcl842$22K
Tapentadol Hcl13$22K
Tapentadol Hcl14$20K
Hydrocodone Bitartrate35$20K
Fentanyl107$19K
Oxymorphone Hcl40$16K
Hydrocodone/Acetaminophen481$14K
Lidocaine75$12K
Hydromorphone Hcl23$11K
Pregabalin136$10K

Prescribing Profile

31

Unique Drugs

55.0

Anomaly Score

Patient Profile

62

Avg Age

57%

Female

1.46

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