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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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Natalie SpangNP

Nurse Practitioner · San Diego, CA 92103

NPI: 1508527847

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20

🟡 Moderate

🚫 This provider appears on the OIG List of Excluded Individuals/Entities (LEIE)

Exclusion type: 1128a3 · Date: 20251020 · State: CA

Risk Flags

OIG Excluded Provider

Risk indicators are statistical patterns, not allegations. Learn more

53

Total Claims

$1,876

Drug Cost

22

Beneficiaries

$85

Cost/Patient

Risk Score Breakdown 20/100

Low (0)Moderate (15)Elevated (30)High (50+)
OIG excluded provider+20

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

-93%

Cost per patient vs peers

$85 vs $1,174 avg

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 53 claims · $1,876

Patient Profile

65

Avg Age

Female

1.45

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