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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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Shavonne SimonichFNP

Nurse Practitioner · Loveland, CO 80538

NPI: 1508334277

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43

🟠 Elevated

Risk Flags

Extreme opioid rate vs specialty peers95th percentile opioid prescribingHigh long-acting opioid rate vs peers

Risk indicators are statistical patterns, not allegations. Learn more

479

Total Claims

$42K

Drug Cost

147

Beneficiaries

$287

Cost/Patient

Risk Score Breakdown 43/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+25
Opioid rate (national percentile)+10
Long-acting opioid rate+8

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

+1357%

Opioid rate vs peers

55.1% vs 3.8% avg

-76%

Cost per patient vs peers

$287 vs $1,174 avg

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

Opioid Prescribing

55.1%

Opioid Rate

264

Opioid Claims

$33K

Opioid Cost

27.7%

Long-Acting Rate

This provider's opioid prescribing rate of 55.1% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 433 claims · $13K

Patient Profile

66

Avg Age

72%

Female

1.87

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