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
788
Total Claims
$15K
Drug Cost
298
Beneficiaries
$52
Cost/Patient
Risk Score Breakdown 10/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+548%
Opioid rate vs peers
24.5% vs 3.8% avg
-96%
Cost per patient vs peers
$52 vs $1,174 avg
🔎 Data Overview
Opioid prescribing rate is 548% above the average for Nurse Practitioner providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
24.5%
Opioid Rate
193
Opioid Claims
$478
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 24.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 758 claims · $11K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Naloxone Hcl | 25 | $1,918 |
| Enoxaparin Sodium | 12 | $1,155 |
| Oxybutynin Chloride | 137 | $826 |
| Levofloxacin | 152 | $348 |
| Cefadroxil | 18 | $338 |
| Tolterodine Tartrate | 13 | $329 |
| Cefpodoxime Proxetil | 14 | $281 |
| Hydromorphone Hcl | 96 | $250 |
| Oxycodone Hcl | 89 | $212 |
| Gabapentin | 92 | $211 |
| Sulfamethoxazole/Trimethoprim | 18 | $76 |
| Ibuprofen | 14 | $38 |
Prescribing Profile
12
Unique Drugs
10.0
Anomaly Score
Patient Profile
71
Avg Age
18%
Female
1.28
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