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
5,923
Total Claims
$337K
Drug Cost
674
Beneficiaries
$500
Cost/Patient
Risk Score Breakdown 54/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1390%
Opioid rate vs peers
56.3% vs 3.8% avg
-57%
Cost per patient vs peers
$500 vs $1,174 avg
-28%
Brand preference vs peers
6.4% 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
56.3%
Opioid Rate
3,337
Opioid Claims
$149K
Opioid Cost
13.6%
Long-Acting Rate
This provider's opioid prescribing rate of 56.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 377 claims · $166K
Generic: 5,546 claims · $171K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl/Acetaminophen | 1,505 | $57K |
| Methylnaltrexone Bromide | 18 | $52K |
| Oxycodone Myristate | 168 | $48K |
| Linaclotide | 44 | $31K |
| Hydrocodone/Acetaminophen | 956 | $25K |
| Lidocaine | 70 | $18K |
| Gabapentin | 926 | $15K |
| Naloxegol Oxalate | 18 | $15K |
| Pregabalin | 309 | $14K |
| Tizanidine Hcl | 262 | $8,940 |
| Naloxone Hcl | 82 | $6,905 |
| Diclofenac Sodium | 110 | $5,723 |
| Morphine Sulfate | 255 | $4,428 |
| Oxycodone Hcl | 209 | $4,095 |
| Cyclobenzaprine Hcl | 166 | $2,982 |
Prescribing Profile
29
Unique Drugs
54.0
Anomaly Score
Patient Profile
66
Avg Age
64%
Female
1.67
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