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
7,261
Total Claims
$362K
Drug Cost
628
Beneficiaries
$577
Cost/Patient
Risk Score Breakdown 60/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1815%
Opioid rate vs peers
72.4% vs 3.8% avg
-51%
Cost per patient vs peers
$577 vs $1,174 avg
-47%
Brand preference vs peers
4.7% 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
72.4%
Opioid Rate
5,260
Opioid Claims
$277K
Opioid Cost
15.3%
Long-Acting Rate
This provider's opioid prescribing rate of 72.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 339 claims · $181K
Generic: 6,922 claims · $182K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Myristate | 72 | $73K |
| Hydrocodone/Acetaminophen | 2,238 | $48K |
| Oxycodone Hcl/Acetaminophen | 1,183 | $36K |
| Oxycodone Hcl | 48 | $33K |
| Buprenorphine Hcl | 28 | $20K |
| Morphine Sulfate | 474 | $18K |
| Fentanyl | 165 | $18K |
| Pregabalin | 404 | $13K |
| Milnacipran Hcl | 41 | $12K |
| Oxycodone Hcl | 561 | $12K |
| Gabapentin | 395 | $9,187 |
| Tizanidine Hcl | 318 | $4,936 |
| Morphine Sulfate | 126 | $3,685 |
| Baclofen | 135 | $2,607 |
| Lidocaine | 15 | $2,220 |
Prescribing Profile
28
Unique Drugs
60.0
Anomaly Score
Patient Profile
69
Avg Age
64%
Female
1.37
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