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
5,041
Total Claims
$212K
Drug Cost
459
Beneficiaries
$461
Cost/Patient
Risk Score Breakdown 54/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1446%
Opioid rate vs peers
58.5% vs 3.8% avg
-61%
Cost per patient vs peers
$461 vs $1,174 avg
-72%
Brand preference vs peers
2.5% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
⚠️ Opioid + Benzodiazepine Co-Prescriber
This provider prescribes both opioids and benzodiazepines. The FDA has issued a Black Box Warning about the life-threatening risks of concurrent use.
Opioid Prescribing
58.5%
Opioid Rate
2,948
Opioid Claims
$111K
Opioid Cost
15.2%
Long-Acting Rate
This provider's opioid prescribing rate of 58.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 126 claims · $53K
Generic: 4,915 claims · $159K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 1,521 | $46K |
| Buprenorphine Hcl/Naloxone Hcl | 138 | $22K |
| Oxycodone Hcl/Acetaminophen | 354 | $14K |
| Buprenorphine Hcl | 188 | $12K |
| Buprenorphine Hcl/Naloxone Hcl | 16 | $12K |
| Oxycodone Hcl | 23 | $11K |
| Oxycodone Myristate | 13 | $8,621 |
| Naloxone Hcl | 99 | $8,015 |
| Oxycodone Hcl | 376 | $7,762 |
| Pregabalin | 180 | $7,332 |
| Morphine Sulfate | 247 | $7,092 |
| Gabapentin | 296 | $5,170 |
| Tizanidine Hcl | 178 | $4,596 |
| Methocarbamol | 141 | $3,752 |
| Lidocaine | 19 | $3,666 |
Prescribing Profile
41
Unique Drugs
54.0
Anomaly Score
Patient Profile
65
Avg Age
58%
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