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
6,504
Total Claims
$619K
Drug Cost
571
Beneficiaries
$1,084
Cost/Patient
Risk Score Breakdown 59/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1376%
Opioid rate vs peers
55.8% vs 3.8% avg
-8%
Cost per patient vs peers
$1,084 vs $1,174 avg
+26%
Brand preference vs peers
11.2% 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
55.8%
Opioid Rate
3,631
Opioid Claims
$347K
Opioid Cost
32.3%
Long-Acting Rate
This provider's opioid prescribing rate of 55.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 726 claims · $447K
Generic: 5,778 claims · $172K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Myristate | 254 | $135K |
| Oxycodone Hcl | 142 | $69K |
| Methylnaltrexone Bromide | 27 | $64K |
| Ubrogepant | 32 | $50K |
| Oxycodone Hcl/Acetaminophen | 1,134 | $42K |
| Lidocaine | 95 | $17K |
| Lidocaine | 23 | $16K |
| Hydrocodone/Acetaminophen | 597 | $16K |
| Pregabalin | 288 | $14K |
| Naldemedine Tosylate | 28 | $14K |
| Morphine Sulfate | 551 | $13K |
| Oxycodone Hcl | 566 | $12K |
| Hydrocodone Bitartrate | 28 | $12K |
| Fentanyl | 113 | $12K |
| Buprenorphine | 38 | $11K |
Prescribing Profile
39
Unique Drugs
59.0
Anomaly Score
Patient Profile
66
Avg Age
63%
Female
1.61
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