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
260
Total Claims
$2,575
Drug Cost
111
Beneficiaries
$23
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+907%
Opioid rate vs peers
38.1% vs 3.8% avg
-98%
Cost per patient vs peers
$23 vs $1,174 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 907% above the average for Nurse Practitioner providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Prescribes only 8 unique drugs, which is unusually low. Most providers prescribe 30+ different medications. Narrow prescribing patterns deserve context about the provider's practice scope.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
38.1%
Opioid Rate
99
Opioid Claims
$681
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 38.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 257 claims · $2,383
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Naloxone Hcl | 13 | $1,096 |
| Hydrocodone/Acetaminophen | 55 | $492 |
| Methylprednisolone | 23 | $188 |
| Ondansetron Hcl | 28 | $135 |
| Oxycodone Hcl/Acetaminophen | 20 | $115 |
| Ciprofloxacin Hcl | 14 | $73 |
| Cyclobenzaprine Hcl | 16 | $61 |
| Tramadol Hcl | 20 | $54 |
Prescribing Profile
8
Unique Drugs
26.0
Anomaly Score
Patient Profile
68
Avg Age
46%
Female
1.18
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About