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
2,895
Total Claims
$178K
Drug Cost
326
Beneficiaries
$545
Cost/Patient
Risk Score Breakdown 34/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1284%
Opioid rate vs peers
52.3% vs 3.8% avg
-54%
Cost per patient vs peers
$545 vs $1,174 avg
-32%
Brand preference vs peers
6.0% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
52.3%
Opioid Rate
1,515
Opioid Claims
$94K
Opioid Cost
17.3%
Long-Acting Rate
This provider's opioid prescribing rate of 52.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 174 claims · $101K
Generic: 2,721 claims · $77K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Pregabalin | 30 | $24K |
| Oxycodone Myristate | 29 | $20K |
| Oxycodone Hcl/Acetaminophen | 412 | $17K |
| Hydrocodone Bitartrate | 13 | $13K |
| Hydrocodone/Acetaminophen | 393 | $11K |
| Lidocaine | 50 | $11K |
| Naloxegol Oxalate | 19 | $8,906 |
| Oxycodone Hcl | 356 | $7,784 |
| Gabapentin | 306 | $5,905 |
| Fentanyl | 47 | $4,070 |
| Diclofenac Sodium | 78 | $4,060 |
| Morphine Sulfate | 154 | $3,317 |
| Methocarbamol | 104 | $1,290 |
| Morphine Sulfate | 40 | $1,267 |
| Baclofen | 72 | $1,243 |
Prescribing Profile
26
Unique Drugs
34.0
Anomaly Score
Patient Profile
66
Avg Age
64%
Female
1.80
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