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
5,112
Total Claims
$350K
Drug Cost
518
Beneficiaries
$675
Cost/Patient
Risk Score Breakdown 40/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1368%
Opioid rate vs peers
55.5% vs 3.8% avg
-43%
Cost per patient vs peers
$675 vs $1,174 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 1,368% 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
55.5%
Opioid Rate
2,838
Opioid Claims
$150K
Opioid Cost
11.9%
Long-Acting Rate
This provider's opioid prescribing rate of 55.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 4,924 claims · $247K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 1,647 | $49K |
| Diclofenac Sodium | 216 | $36K |
| Buprenorphine Hcl/Naloxone Hcl | 127 | $33K |
| Oxycodone Hcl | 32 | $31K |
| Lidocaine | 141 | $30K |
| Buprenorphine | 78 | $22K |
| Oxycodone Hcl/Acetaminophen | 365 | $17K |
| Oxycodone Myristate | 19 | $12K |
| Gabapentin | 571 | $12K |
| Naloxone Hcl | 115 | $9,429 |
| Buprenorphine Hcl/Naloxone Hcl | 11 | $9,069 |
| Naloxegol Oxalate | 17 | $7,419 |
| Pregabalin | 175 | $6,178 |
| Oxycodone Hcl | 194 | $5,061 |
| Varenicline Tartrate | 13 | $3,996 |
Prescribing Profile
32
Unique Drugs
40.0
Anomaly Score
Patient Profile
67
Avg Age
60%
Female
1.46
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