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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.

Read our methodology →

Mary SpernogaAPNP

Nurse Practitioner · Sacramento, CA 95817

NPI: 1861012841

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30

🟠 Elevated

Risk Flags

Elevated cost per beneficiaryHigh long-acting opioid rate vs peersHigh antipsychotic prescribing (65+)Extreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

5,578

Total Claims

$732K

Drug Cost

138

Beneficiaries

$5,302

Cost/Patient

Risk Score Breakdown 30/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Long-acting opioid rate+8
High fills per patient+5
Cost per patient outlier+3

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

-58%

Opioid rate vs peers

1.6% vs 3.8% avg

+351%

Cost per patient vs peers

$5,302 vs $1,174 avg

+62%

Brand preference vs peers

14.4% vs 8.9% avg

Opioid Prescribing

1.6%

Opioid Rate

88

Opioid Claims

$2,504

Opioid Cost

25.0%

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 789 claims · $463K

Generic: 4,704 claims · $262K

Patient Profile

75

Avg Age

64%

Female

2.13

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