⚠️

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 →

Nicole GuestFNP-C

Nurse Practitioner · Saginaw, MI 48603

NPI: 1649755794

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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

7,055

Total Claims

$426K

Drug Cost

709

Beneficiaries

$601

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

+1691%

Opioid rate vs peers

67.7% vs 3.8% avg

-49%

Cost per patient vs peers

$601 vs $1,174 avg

-56%

Brand preference vs peers

3.9% vs 8.9% avg

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

Opioid Prescribing

67.7%

Opioid Rate

4,779

Opioid Claims

$360K

Opioid Cost

26.4%

Long-Acting Rate

This provider's opioid prescribing rate of 67.7% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

96% generic

Brand: 276 claims · $152K

Generic: 6,779 claims · $274K

Patient Profile

68

Avg Age

64%

Female

1.66

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