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
5,013
Total Claims
$405K
Drug Cost
918
Beneficiaries
$441
Cost/Patient
Risk Score Breakdown 49/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1632%
Opioid rate vs peers
65.5% vs 3.8% avg
-62%
Cost per patient vs peers
$441 vs $1,174 avg
-15%
Brand preference vs peers
7.6% vs 8.9% 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 1,632% 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
65.5%
Opioid Rate
3,284
Opioid Claims
$287K
Opioid Cost
19.5%
Long-Acting Rate
This provider's opioid prescribing rate of 65.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 379 claims · $227K
Generic: 4,634 claims · $178K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 1,386 | $43K |
| Oxycodone Hcl | 61 | $36K |
| Oxycodone Myristate | 47 | $32K |
| Tapentadol Hcl | 33 | $29K |
| Buprenorphine | 86 | $28K |
| Tapentadol Hcl | 15 | $25K |
| Naloxegol Oxalate | 53 | $23K |
| Buprenorphine Hcl | 31 | $19K |
| Oxycodone Hcl/Acetaminophen | 499 | $16K |
| Oxymorphone Hcl | 24 | $14K |
| Oxycodone Hcl | 469 | $13K |
| Pregabalin | 313 | $12K |
| Naloxone Hcl | 102 | $9,041 |
| Pregabalin | 12 | $7,355 |
| Fentanyl | 48 | $6,387 |
Prescribing Profile
30
Unique Drugs
49.0
Anomaly Score
Patient Profile
65
Avg Age
66%
Female
1.79
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