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
5,386
Total Claims
$767K
Drug Cost
559
Beneficiaries
$1,372
Cost/Patient
Risk Score Breakdown 49/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1452%
Opioid rate vs peers
58.7% vs 3.8% avg
+17%
Cost per patient vs peers
$1,372 vs $1,174 avg
+92%
Brand preference vs peers
17.0% 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 1,452% 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
58.7%
Opioid Rate
3,161
Opioid Claims
$547K
Opioid Cost
29.3%
Long-Acting Rate
This provider's opioid prescribing rate of 58.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 916 claims · $617K
Generic: 4,470 claims · $150K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Buprenorphine Hcl | 234 | $176K |
| Tapentadol Hcl | 168 | $156K |
| Oxycodone Myristate | 89 | $43K |
| Tapentadol Hcl | 35 | $35K |
| Buprenorphine | 86 | $30K |
| Hydrocodone/Acetaminophen | 1,081 | $29K |
| Rimegepant Sulfate | 13 | $24K |
| Ubrogepant | 13 | $20K |
| Hydrocodone Bitartrate | 39 | $18K |
| Pregabalin | 245 | $16K |
| Gabapentin | 12 | $13K |
| Erenumab-Aooe | 16 | $12K |
| Oxycodone Hcl/Acetaminophen | 346 | $12K |
| Gabapentin | 487 | $12K |
| Naloxegol Oxalate | 20 | $9,000 |
Prescribing Profile
41
Unique Drugs
49.0
Anomaly Score
Patient Profile
65
Avg Age
66%
Female
1.73
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About