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 →49
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
5,568
Total Claims
$354K
Drug Cost
440
Beneficiaries
$804
Cost/Patient
Risk Score Breakdown 49/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1642%
Opioid rate vs peers
65.9% vs 3.8% avg
-32%
Cost per patient vs peers
$804 vs $1,174 avg
-24%
Brand preference vs peers
6.8% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
65.9%
Opioid Rate
3,668
Opioid Claims
$235K
Opioid Cost
21.0%
Long-Acting Rate
This provider's opioid prescribing rate of 65.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 376 claims · $183K
Generic: 5,192 claims · $171K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Myristate | 85 | $67K |
| Oxycodone Hcl | 61 | $32K |
| Oxycodone Hcl/Acetaminophen | 913 | $30K |
| Hydrocodone/Acetaminophen | 958 | $28K |
| Buprenorphine Hcl/Naloxone Hcl | 124 | $21K |
| Naloxegol Oxalate | 40 | $20K |
| Fentanyl | 130 | $14K |
| Linaclotide | 17 | $13K |
| Oxycodone Hcl | 587 | $12K |
| Pregabalin | 281 | $12K |
| Buprenorphine | 33 | $10K |
| Buprenorphine Hcl | 15 | $9,502 |
| Morphine Sulfate | 337 | $9,475 |
| Gabapentin | 507 | $9,063 |
| Hydrocodone Bitartrate | 12 | $8,693 |
Prescribing Profile
30
Unique Drugs
49.0
Anomaly Score
Patient Profile
72
Avg Age
61%
Female
1.72
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