⚠️

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 →

Marshe IvyNP

Nurse Practitioner · Stockton, CA 95204

NPI: 1386308955

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31

🟠 Elevated

🤖 ML Fraud Detection Score: Very High

Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.

Learn more →

Risk Flags

Elevated long-acting opioid rateHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

21,373

Total Claims

$1.1M

Drug Cost

363

Beneficiaries

$3,110

Cost/Patient

Risk Score Breakdown 31/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+5
Long-acting opioid rate+4

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

-70%

Opioid rate vs peers

1.1% vs 3.8% avg

+165%

Cost per patient vs peers

$3,110 vs $1,174 avg

+33%

Brand preference vs peers

11.8% 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.

🔎 Data Overview

🤖

Our machine learning model — trained on 281 confirmed fraud cases — gives this provider a "Very High" fraud-pattern score. All 20 decision trees in our ensemble model agree that this provider's prescribing patterns resemble those of confirmed fraud cases. This is a statistical finding, not an accusation.

⚠️

This provider co-prescribes opioids and benzodiazepines — a combination carrying an FDA Black Box Warning due to increased risk of respiratory depression and death. While sometimes clinically necessary, this combination requires careful justification.

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

Opioid Prescribing

1.1%

Opioid Rate

245

Opioid Claims

$4,221

Opioid Cost

18.0%

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 2,495 claims · $794K

Generic: 18,720 claims · $328K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dulaglutide73$70K
Apixaban276$67K
Empagliflozin168$60K
Rivaroxaban166$45K
Fluticasone/Umeclidin/Vilanter66$45K
Atorvastatin Calcium1,453$36K
Semaglutide32$32K
Sitagliptin Phosphate76$21K
Insulin Glargine,hum.Rec.Anlog86$20K
Brexpiprazole13$18K
Ticagrelor78$17K
Linagliptin67$16K
Sacubitril/Valsartan37$15K
Umeclidinium Brm/Vilanterol Tr28$14K
Memantine Hcl270$12K

Prescribing Profile

167

Unique Drugs

$234K

IRA Negotiated Drugs

$101K

GLP-1 Drugs

31.0

Anomaly Score

Patient Profile

74

Avg Age

52%

Female

2.44

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