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
5,166
Total Claims
$659K
Drug Cost
449
Beneficiaries
$1,467
Cost/Patient
Risk Score Breakdown 49/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1666%
Opioid rate vs peers
66.8% vs 3.8% avg
+25%
Cost per patient vs peers
$1,467 vs $1,174 avg
-14%
Brand preference vs peers
7.7% 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 1,666% 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
66.8%
Opioid Rate
3,451
Opioid Claims
$278K
Opioid Cost
26.3%
Long-Acting Rate
This provider's opioid prescribing rate of 66.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 395 claims · $496K
Generic: 4,759 claims · $162K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Teriparatide | 31 | $143K |
| Abaloparatide | 46 | $118K |
| Denosumab | 38 | $62K |
| Oxycodone Hcl | 60 | $58K |
| Buprenorphine | 103 | $39K |
| Hydrocodone/Acetaminophen | 1,533 | $37K |
| Buprenorphine Hcl | 45 | $30K |
| Hydrocodone Bitartrate | 33 | $28K |
| Fentanyl | 156 | $18K |
| Oxycodone Myristate | 18 | $14K |
| Oxycodone Hcl/Acetaminophen | 520 | $13K |
| Morphine Sulfate | 332 | $11K |
| Gabapentin | 480 | $7,887 |
| Oxymorphone Hcl | 13 | $7,528 |
| Linaclotide | 11 | $6,123 |
Prescribing Profile
35
Unique Drugs
49.0
Anomaly Score
Patient Profile
68
Avg Age
67%
Female
1.57
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About