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 →35
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
762
Total Claims
$27K
Drug Cost
168
Beneficiaries
$159
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1489%
Opioid rate vs peers
60.1% vs 3.8% avg
-86%
Cost per patient vs peers
$159 vs $1,174 avg
-33%
Brand preference vs peers
5.9% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
60.1%
Opioid Rate
458
Opioid Claims
$6,550
Opioid Cost
8.7%
Long-Acting Rate
This provider's opioid prescribing rate of 60.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 45 claims · $8,517
Generic: 717 claims · $18K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Pregabalin | 141 | $8,116 |
| Oxycodone Myristate | 15 | $1,495 |
| Tramadol Hcl | 192 | $1,445 |
| Naloxone Hcl | 12 | $1,111 |
| Oxycodone Hcl | 84 | $1,091 |
| Hydrocodone/Acetaminophen | 87 | $904 |
| Baclofen | 22 | $685 |
| Tizanidine Hcl | 12 | $643 |
| Methocarbamol | 27 | $298 |
| Gabapentin | 24 | $275 |
| Oxycodone Hcl/Acetaminophen | 23 | $266 |
| Fentanyl | 11 | $197 |
| Acetaminophen With Codeine | 20 | $185 |
Prescribing Profile
13
Unique Drugs
35.0
Anomaly Score
Patient Profile
78
Avg Age
62%
Female
3.64
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