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
5,402
Total Claims
$319K
Drug Cost
555
Beneficiaries
$575
Cost/Patient
Risk Score Breakdown 45/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1574%
Opioid rate vs peers
63.3% vs 3.8% avg
-51%
Cost per patient vs peers
$575 vs $1,174 avg
-15%
Brand preference vs peers
7.5% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
63.3%
Opioid Rate
3,421
Opioid Claims
$208K
Opioid Cost
19.2%
Long-Acting Rate
This provider's opioid prescribing rate of 63.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 406 claims · $174K
Generic: 4,996 claims · $145K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Myristate | 126 | $68K |
| Hydrocodone/Acetaminophen | 867 | $25K |
| Oxycodone Hcl/Acetaminophen | 742 | $24K |
| Buprenorphine | 76 | $21K |
| Naloxone Hcl | 172 | $14K |
| Gabapentin | 479 | $13K |
| Gabapentin Enacarbil | 11 | $11K |
| Tapentadol Hcl | 12 | $9,805 |
| Buprenorphine | 13 | $8,788 |
| Pregabalin | 274 | $8,567 |
| Morphine Sulfate | 347 | $8,269 |
| Oxycodone Hcl | 465 | $7,749 |
| Buprenorphine Hcl | 14 | $7,642 |
| Oxycodone Hcl | 19 | $7,282 |
| Diclofenac Sodium | 49 | $4,784 |
Prescribing Profile
26
Unique Drugs
45.0
Anomaly Score
Patient Profile
69
Avg Age
65%
Female
1.66
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