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 →🚫 This provider appears on the OIG List of Excluded Individuals/Entities (LEIE)
Exclusion type: 1128b4 · Date: 20250820 · State: AZ
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
908
Total Claims
$39K
Drug Cost
285
Beneficiaries
$138
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+744%
Opioid rate vs peers
31.9% vs 3.8% avg
-88%
Cost per patient vs peers
$138 vs $1,174 avg
-65%
Brand preference vs peers
3.1% vs 8.9% avg
Opioid Prescribing
31.9%
Opioid Rate
290
Opioid Claims
$13K
Opioid Cost
10.0%
Long-Acting Rate
This provider's opioid prescribing rate of 31.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 28 claims · $14K
Generic: 880 claims · $26K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Lidocaine | 43 | $4,693 |
| Oxycodone Hcl/Acetaminophen | 78 | $3,496 |
| Diclofenac Sodium | 86 | $3,222 |
| Oxycodone Hcl | 105 | $2,953 |
| Gabapentin | 144 | $2,827 |
| Hydrocodone/Acetaminophen | 52 | $1,558 |
| Pregabalin | 31 | $1,176 |
| Tizanidine Hcl | 74 | $937 |
| Baclofen | 37 | $803 |
| Duloxetine Hcl | 37 | $695 |
| Cyclobenzaprine Hcl | 36 | $459 |
| Methocarbamol | 23 | $385 |
| Morphine Sulfate | 14 | $335 |
| Ibuprofen | 14 | $199 |
| Amitriptyline Hcl | 13 | $182 |
Prescribing Profile
17
Unique Drugs
30.0
Anomaly Score
Patient Profile
65
Avg Age
66%
Female
2.17
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