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
5,113
Total Claims
$325K
Drug Cost
386
Beneficiaries
$842
Cost/Patient
Risk Score Breakdown 54/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1546%
Opioid rate vs peers
62.3% vs 3.8% avg
-28%
Cost per patient vs peers
$842 vs $1,174 avg
-24%
Brand preference vs peers
6.7% 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
62.3%
Opioid Rate
3,184
Opioid Claims
$216K
Opioid Cost
18.1%
Long-Acting Rate
This provider's opioid prescribing rate of 62.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 343 claims · $181K
Generic: 4,770 claims · $144K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Buprenorphine Hcl | 102 | $71K |
| Methylnaltrexone Bromide | 14 | $35K |
| Oxycodone Hcl/Acetaminophen | 882 | $34K |
| Hydrocodone/Acetaminophen | 1,101 | $32K |
| Buprenorphine | 101 | $30K |
| Oxycodone Myristate | 50 | $21K |
| Gabapentin | 750 | $12K |
| Naloxegol Oxalate | 19 | $8,104 |
| Lubiprostone | 32 | $7,140 |
| Oxycodone Hcl | 347 | $6,784 |
| Pregabalin | 178 | $6,126 |
| Naldemedine Tosylate | 12 | $5,605 |
| Fentanyl | 63 | $5,602 |
| Morphine Sulfate | 246 | $5,586 |
| Lidocaine | 51 | $4,031 |
Prescribing Profile
34
Unique Drugs
54.0
Anomaly Score
Patient Profile
67
Avg Age
61%
Female
1.81
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