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
6,056
Total Claims
$859K
Drug Cost
375
Beneficiaries
$2,291
Cost/Patient
Risk Score Breakdown 49/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1393%
Opioid rate vs peers
56.5% vs 3.8% avg
+95%
Cost per patient vs peers
$2,291 vs $1,174 avg
+61%
Brand preference vs peers
14.3% 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 1,393% 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
56.5%
Opioid Rate
3,420
Opioid Claims
$538K
Opioid Cost
36.9%
Long-Acting Rate
This provider's opioid prescribing rate of 56.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 864 claims · $545K
Generic: 5,192 claims · $314K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl/Acetaminophen | 485 | $95K |
| Oxycodone Myristate | 129 | $81K |
| Oxycodone Hcl | 165 | $69K |
| Ubrogepant | 36 | $63K |
| Buprenorphine Hcl | 61 | $50K |
| Buprenorphine | 138 | $47K |
| Oxycodone Hcl/Acetaminophen | 13 | $42K |
| Tapentadol Hcl | 50 | $36K |
| Methylnaltrexone Bromide | 13 | $30K |
| Hydrocodone/Acetaminophen | 1,012 | $28K |
| Naloxegol Oxalate | 55 | $22K |
| Tapentadol Hcl | 12 | $21K |
| Atogepant | 18 | $21K |
| Hydrocodone Bitartrate | 27 | $18K |
| Lidocaine | 20 | $14K |
Prescribing Profile
49
Unique Drugs
49.0
Anomaly Score
Patient Profile
65
Avg Age
69%
Female
1.89
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