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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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Anna Giemza-PalmerNP

Nurse Practitioner · Driggs, ID 83422

NPI: 1427415553

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31

🟠 Elevated

Risk Flags

High opioid rate vs specialty peersHigh long-acting opioid rate vs peersHigh antipsychotic prescribing (65+)High fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

1,886

Total Claims

$220K

Drug Cost

89

Beneficiaries

$2,468

Cost/Patient

Risk Score Breakdown 31/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+10
Elderly antipsychotic prescribing+10
Long-acting opioid rate+8
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

+543%

Opioid rate vs peers

24.3% vs 3.8% avg

+110%

Cost per patient vs peers

$2,468 vs $1,174 avg

+9%

Brand preference vs peers

9.7% vs 8.9% avg

Opioid Prescribing

24.3%

Opioid Rate

459

Opioid Claims

$11K

Opioid Cost

31.4%

Long-Acting Rate

This provider's opioid prescribing rate of 24.3% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

90% generic

Brand: 182 claims · $147K

Generic: 1,704 claims · $72K

Patient Profile

64

Avg Age

58%

Female

1.04

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