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
5,051
Total Claims
$499K
Drug Cost
294
Beneficiaries
$1,696
Cost/Patient
Risk Score Breakdown 64/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1438%
Opioid rate vs peers
58.2% vs 3.8% avg
+44%
Cost per patient vs peers
$1,696 vs $1,174 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
58.2%
Opioid Rate
2,938
Opioid Claims
$365K
Opioid Cost
26.0%
Long-Acting Rate
This provider's opioid prescribing rate of 58.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 4,607 claims · $187K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Buprenorphine Hcl | 118 | $105K |
| Buprenorphine | 120 | $55K |
| Tapentadol Hcl | 35 | $44K |
| Tapentadol Hcl | 35 | $43K |
| Oxycodone Hcl | 847 | $21K |
| Oxycodone Myristate | 30 | $18K |
| Oxycodone Hcl | 30 | $15K |
| Hydrocodone/Acetaminophen | 512 | $15K |
| Rimegepant Sulfate | 13 | $14K |
| Gabapentin | 350 | $10K |
| Oxycodone Hcl/Acetaminophen | 290 | $9,436 |
| Lidocaine | 33 | $8,644 |
| Pregabalin | 270 | $8,017 |
| Hydromorphone Hcl | 250 | $7,557 |
| Hydromorphone Hcl | 11 | $5,861 |
Prescribing Profile
46
Unique Drugs
64.0
Anomaly Score
Patient Profile
63
Avg Age
64%
Female
1.92
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