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 →37
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
6,125
Total Claims
$390K
Drug Cost
678
Beneficiaries
$575
Cost/Patient
Risk Score Breakdown 37/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1352%
Opioid rate vs peers
54.9% vs 3.8% avg
-51%
Cost per patient vs peers
$575 vs $1,174 avg
-32%
Brand preference vs peers
6.0% 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 1,352% 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
54.9%
Opioid Rate
3,363
Opioid Claims
$180K
Opioid Cost
18.3%
Long-Acting Rate
This provider's opioid prescribing rate of 54.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 368 claims · $224K
Generic: 5,757 claims · $166K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Methylnaltrexone Bromide | 47 | $113K |
| Oxycodone Hcl/Acetaminophen | 1,051 | $44K |
| Oxycodone Myristate | 118 | $43K |
| Hydrocodone/Acetaminophen | 1,048 | $33K |
| Lidocaine | 25 | $18K |
| Oxycodone Hcl | 464 | $13K |
| Gabapentin | 697 | $12K |
| Lidocaine | 85 | $11K |
| Buprenorphine Hcl | 14 | $9,624 |
| Naloxegol Oxalate | 20 | $9,349 |
| Oxycodone Hcl | 17 | $9,040 |
| Diclofenac Sodium | 220 | $6,776 |
| Pregabalin | 173 | $6,131 |
| Tramadol Hcl | 71 | $5,960 |
| Buprenorphine | 16 | $4,872 |
Prescribing Profile
33
Unique Drugs
37.0
Anomaly Score
Patient Profile
65
Avg Age
71%
Female
1.78
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