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
5,036
Total Claims
$230K
Drug Cost
548
Beneficiaries
$420
Cost/Patient
Risk Score Breakdown 45/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1436%
Opioid rate vs peers
58.1% vs 3.8% avg
-64%
Cost per patient vs peers
$420 vs $1,174 avg
-52%
Brand preference vs peers
4.3% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
58.1%
Opioid Rate
2,926
Opioid Claims
$104K
Opioid Cost
15.0%
Long-Acting Rate
This provider's opioid prescribing rate of 58.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 216 claims · $104K
Generic: 4,820 claims · $127K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl/Acetaminophen | 974 | $33K |
| Methylnaltrexone Bromide | 11 | $27K |
| Naloxegol Oxalate | 36 | $17K |
| Hydrocodone/Acetaminophen | 619 | $16K |
| Oxycodone Myristate | 34 | $14K |
| Oxycodone Hcl | 500 | $9,947 |
| Gabapentin | 433 | $8,701 |
| Oxycodone Hcl | 18 | $6,438 |
| Morphine Sulfate | 321 | $5,638 |
| Pregabalin | 134 | $4,334 |
| Naloxone Hcl | 56 | $4,325 |
| Tizanidine Hcl | 294 | $4,043 |
| Fentanyl | 40 | $3,740 |
| Diclofenac Sodium | 90 | $3,586 |
| Lidocaine | 19 | $3,218 |
Prescribing Profile
33
Unique Drugs
45.0
Anomaly Score
Patient Profile
67
Avg Age
69%
Female
1.97
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