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
5,072
Total Claims
$450K
Drug Cost
413
Beneficiaries
$1,091
Cost/Patient
Risk Score Breakdown 59/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1640%
Opioid rate vs peers
65.8% vs 3.8% avg
-7%
Cost per patient vs peers
$1,091 vs $1,174 avg
+9%
Brand preference vs peers
9.6% 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
65.8%
Opioid Rate
3,337
Opioid Claims
$312K
Opioid Cost
28.1%
Long-Acting Rate
This provider's opioid prescribing rate of 65.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 488 claims · $279K
Generic: 4,584 claims · $171K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 142 | $78K |
| Buprenorphine Hcl | 50 | $41K |
| Hydrocodone Bitartrate | 20 | $30K |
| Oxycodone Hcl | 1,094 | $26K |
| Tapentadol Hcl | 24 | $25K |
| Naloxegol Oxalate | 32 | $24K |
| Hydrocodone/Acetaminophen | 536 | $18K |
| Buprenorphine | 51 | $18K |
| Oxycodone Hcl/Acetaminophen | 336 | $13K |
| Morphine Sulfate | 411 | $12K |
| Fentanyl | 129 | $10K |
| Oxycodone Myristate | 21 | $9,794 |
| Gabapentin | 263 | $6,731 |
| Tizanidine Hcl | 281 | $6,302 |
| Pregabalin | 83 | $6,211 |
Prescribing Profile
38
Unique Drugs
59.0
Anomaly Score
Patient Profile
69
Avg Age
64%
Female
1.66
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