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
6,518
Total Claims
$449K
Drug Cost
1,190
Beneficiaries
$377
Cost/Patient
Risk Score Breakdown 49/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1673%
Opioid rate vs peers
67.0% vs 3.8% avg
-68%
Cost per patient vs peers
$377 vs $1,174 avg
-24%
Brand preference vs peers
6.7% 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 1,673% 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
67.0%
Opioid Rate
4,370
Opioid Claims
$363K
Opioid Cost
26.2%
Long-Acting Rate
This provider's opioid prescribing rate of 67.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 437 claims · $252K
Generic: 6,081 claims · $197K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Myristate | 127 | $92K |
| Oxycodone Hcl | 129 | $91K |
| Hydrocodone/Acetaminophen | 1,421 | $42K |
| Fentanyl | 214 | $29K |
| Oxycodone Hcl/Acetaminophen | 821 | $28K |
| Linaclotide | 19 | $16K |
| Tapentadol Hcl | 13 | $15K |
| Oxycodone Hcl | 590 | $13K |
| Gabapentin | 463 | $12K |
| Morphine Sulfate | 365 | $11K |
| Pregabalin | 275 | $11K |
| Naloxegol Oxalate | 22 | $9,709 |
| Methadone Hcl | 221 | $5,701 |
| Buprenorphine | 20 | $4,806 |
| Tizanidine Hcl | 326 | $4,065 |
Prescribing Profile
37
Unique Drugs
49.0
Anomaly Score
Patient Profile
67
Avg Age
67%
Female
1.94
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