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 →Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
7,561
Total Claims
$174K
Drug Cost
745
Beneficiaries
$234
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+773%
Opioid rate vs peers
33.0% vs 3.8% avg
-80%
Cost per patient vs peers
$234 vs $1,174 avg
-59%
Brand preference vs peers
3.6% vs 8.9% avg
⚠️ Opioid + Benzodiazepine Co-Prescriber
This provider prescribes both opioids and benzodiazepines. The FDA has issued a Black Box Warning about the life-threatening risks of concurrent use.
🔎 Data Overview
Opioid prescribing rate is 773% above the average for Nurse Practitioner providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
This provider co-prescribes opioids and benzodiazepines — a combination carrying an FDA Black Box Warning due to increased risk of respiratory depression and death. While sometimes clinically necessary, this combination requires careful justification.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
33.0%
Opioid Rate
2,497
Opioid Claims
$62K
Opioid Cost
1.1%
Long-Acting Rate
This provider's opioid prescribing rate of 33.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 274 claims · $29K
Generic: 7,287 claims · $145K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl/Acetaminophen | 860 | $26K |
| Diclofenac Sodium | 362 | $18K |
| Lidocaine | 67 | $13K |
| Hydrocodone/Acetaminophen | 750 | $13K |
| Gabapentin | 1,031 | $11K |
| Lidocaine | 26 | $11K |
| Oxycodone Hcl | 487 | $7,552 |
| Tizanidine Hcl | 587 | $5,232 |
| Pregabalin | 321 | $4,937 |
| Buprenorphine Hcl/Naloxone Hcl | 24 | $4,474 |
| Cyclobenzaprine Hcl | 443 | $3,079 |
| Hydromorphone Hcl | 237 | $2,988 |
| Celecoxib | 207 | $2,919 |
| Ibuprofen | 375 | $2,585 |
| Duloxetine Hcl | 152 | $2,476 |
Prescribing Profile
42
Unique Drugs
26.0
Anomaly Score
Patient Profile
63
Avg Age
63%
Female
1.91
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