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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.

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Robert NicholsonMD

Orthopedic Surgery · Hammond, LA 70403

NPI: 1124417373

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40

🟠 Elevated

🤖 ML Fraud Detection Score: 88%

Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.

Learn more →

Risk Flags

90th percentile opioid prescribingHigh cost outlier (population + peer)High long-acting opioid rate vs peersElevated antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

12,507

Total Claims

$3.0M

Drug Cost

506

Beneficiaries

$5,912

Cost/Patient

Risk Score Breakdown 40/100

Low (0)Moderate (15)Elevated (30)High (50+)
Long-acting opioid rate+8
Opioid + benzodiazepine combo+8
Cost per patient outlier+6
Opioid rate (national percentile)+5
Elderly antipsychotic prescribing+5
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 17,619 Orthopedic Surgery providers

+46%

Opioid rate vs peers

45.2% vs 31.0% 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

45.2%

Opioid Rate

5,659

Opioid Claims

$2.4M

Opioid Cost

29.8%

Long-Acting Rate

This provider's opioid prescribing rate of 45.2% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 11,456 claims · $2.0M

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Oxycodone Hcl/Acetaminophen1,997$1.7M
Methylnaltrexone Bromide84$206K
Oxycodone Myristate233$175K
Buprenorphine Hcl187$162K
Oxycodone Hcl131$90K
Oxycodone Hcl/Acetaminophen26$78K
Rimegepant Sulfate36$75K
Ubrogepant19$45K
Hydrocodone/Acetaminophen1,463$28K
Lidocaine72$26K
Nabumetone16$26K
Fentanyl232$25K
Tramadol Hcl364$24K
Naloxegol Oxalate41$19K
Tapentadol Hcl13$18K

Prescribing Profile

67

Unique Drugs

40.0

Anomaly Score

Patient Profile

66

Avg Age

54%

Female

1.69

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