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
7,639
Total Claims
$656K
Drug Cost
592
Beneficiaries
$1,108
Cost/Patient
Risk Score Breakdown 49/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1362%
Opioid rate vs peers
55.3% vs 3.8% avg
-6%
Cost per patient vs peers
$1,108 vs $1,174 avg
-8%
Brand preference vs peers
8.1% vs 8.9% 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 1,362% 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
55.3%
Opioid Rate
4,224
Opioid Claims
$421K
Opioid Cost
22.6%
Long-Acting Rate
This provider's opioid prescribing rate of 55.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 622 claims · $420K
Generic: 7,017 claims · $236K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Buprenorphine Hcl | 144 | $134K |
| Methylnaltrexone Bromide | 22 | $71K |
| Oxycodone Hcl | 111 | $57K |
| Oxycodone Myristate | 90 | $55K |
| Buprenorphine | 149 | $51K |
| Oxycodone Hcl/Acetaminophen | 1,304 | $47K |
| Hydrocodone/Acetaminophen | 1,361 | $37K |
| Pregabalin | 412 | $17K |
| Naloxegol Oxalate | 33 | $17K |
| Ubrogepant | 11 | $14K |
| Gabapentin | 806 | $13K |
| Diclofenac Sodium | 123 | $12K |
| Naldemedine Tosylate | 26 | $12K |
| Lidocaine | 113 | $12K |
| Lubiprostone | 34 | $8,101 |
Prescribing Profile
45
Unique Drugs
49.0
Anomaly Score
Patient Profile
69
Avg Age
63%
Female
1.69
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