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
6,167
Total Claims
$399K
Drug Cost
410
Beneficiaries
$973
Cost/Patient
Risk Score Breakdown 54/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1554%
Opioid rate vs peers
62.6% vs 3.8% avg
-17%
Cost per patient vs peers
$973 vs $1,174 avg
-14%
Brand preference vs peers
7.6% 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
62.6%
Opioid Rate
3,858
Opioid Claims
$197K
Opioid Cost
13.6%
Long-Acting Rate
This provider's opioid prescribing rate of 62.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 471 claims · $214K
Generic: 5,696 claims · $185K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Buprenorphine Hcl | 105 | $51K |
| Hydrocodone/Acetaminophen | 1,439 | $37K |
| Buprenorphine | 16 | $36K |
| Buprenorphine Hcl/Naloxone Hcl | 263 | $31K |
| Tapentadol Hcl | 40 | $25K |
| Oxycodone Hcl | 1,053 | $23K |
| Buprenorphine Hcl | 303 | $19K |
| Oxycodone Hcl | 48 | $18K |
| Naloxegol Oxalate | 23 | $13K |
| Oxycodone Hcl/Acetaminophen | 526 | $12K |
| Diclofenac Epolamine | 14 | $12K |
| Buprenorphine | 25 | $11K |
| Pregabalin | 287 | $10K |
| Buprenorphine Hcl/Naloxone Hcl | 25 | $8,746 |
| Gabapentin | 423 | $7,049 |
Prescribing Profile
33
Unique Drugs
54.0
Anomaly Score
Patient Profile
63
Avg Age
63%
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