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
5,439
Total Claims
$446K
Drug Cost
462
Beneficiaries
$965
Cost/Patient
Risk Score Breakdown 59/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1618%
Opioid rate vs peers
65.0% vs 3.8% avg
-18%
Cost per patient vs peers
$965 vs $1,174 avg
-23%
Brand preference vs peers
6.8% 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
65.0%
Opioid Rate
3,534
Opioid Claims
$328K
Opioid Cost
23.9%
Long-Acting Rate
This provider's opioid prescribing rate of 65.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 369 claims · $278K
Generic: 5,070 claims · $167K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Tapentadol Hcl | 62 | $69K |
| Oxycodone Myristate | 77 | $52K |
| Tapentadol Hcl | 38 | $42K |
| Hydrocodone/Acetaminophen | 1,083 | $29K |
| Oxycodone Hcl/Acetaminophen | 627 | $22K |
| Buprenorphine Hcl | 27 | $19K |
| Linaclotide | 27 | $17K |
| Morphine Sulfate | 394 | $17K |
| Oxycodone Hcl | 28 | $16K |
| Oxycodone Hcl | 638 | $14K |
| Gabapentin | 643 | $12K |
| Buprenorphine | 13 | $11K |
| Lidocaine | 14 | $11K |
| Pregabalin | 185 | $10K |
| Naloxone Hcl | 113 | $9,819 |
Prescribing Profile
32
Unique Drugs
59.0
Anomaly Score
Patient Profile
67
Avg Age
64%
Female
1.80
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