⚠️

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 →

Fregi Vazhappully FrancisFNP

Nurse Practitioner · Memphis, TN 38103

NPI: 1811500713

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34

🟠 Elevated

Risk Flags

Very high opioid rate vs specialty peers95th percentile opioid prescribingHigh cost outlier (population + peer)

Risk indicators are statistical patterns, not allegations. Learn more

1,245

Total Claims

$1.5M

Drug Cost

103

Beneficiaries

$14K

Cost/Patient

Risk Score Breakdown 34/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+18
Opioid rate (national percentile)+10
Cost per patient outlier+6

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

+1340%

Opioid rate vs peers

54.5% vs 3.8% avg

+1129%

Cost per patient vs peers

$14K vs $1,174 avg

+52%

Brand preference vs peers

13.5% vs 8.9% avg

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

🔎 Data Overview

⚠️

Opioid prescribing rate is 1,340% above the average for Nurse Practitioner providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.

💰

Cost per patient is 1129% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.

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

Opioid Prescribing

54.5%

Opioid Rate

678

Opioid Claims

$18K

Opioid Cost

4.9%

Long-Acting Rate

This provider's opioid prescribing rate of 54.5% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

87% generic

Brand: 168 claims · $1.1M

Generic: 1,077 claims · $354K

Patient Profile

46

Avg Age

64%

Female

5.23

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