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
5,022
Total Claims
$550K
Drug Cost
363
Beneficiaries
$1,515
Cost/Patient
Risk Score Breakdown 49/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1450%
Opioid rate vs peers
58.6% vs 3.8% avg
+29%
Cost per patient vs peers
$1,515 vs $1,174 avg
-23%
Brand preference vs peers
6.8% 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 1,450% 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
58.6%
Opioid Rate
2,945
Opioid Claims
$317K
Opioid Cost
20.4%
Long-Acting Rate
This provider's opioid prescribing rate of 58.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 343 claims · $374K
Generic: 4,679 claims · $176K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Methylnaltrexone Bromide | 21 | $76K |
| Oxycodone Myristate | 96 | $65K |
| Tapentadol Hcl | 42 | $63K |
| Oxycodone Hcl/Acetaminophen | 940 | $41K |
| Ubrogepant | 15 | $37K |
| Hydrocodone/Acetaminophen | 958 | $34K |
| Buprenorphine Hcl | 37 | $33K |
| Oxycodone Hcl | 24 | $28K |
| Erenumab-Aooe | 12 | $12K |
| Fentanyl | 49 | $12K |
| Gabapentin | 508 | $10K |
| Pregabalin | 244 | $9,689 |
| Oxycodone Hcl | 329 | $7,990 |
| Galcanezumab-Gnlm | 11 | $7,989 |
| Morphine Sulfate | 286 | $7,244 |
Prescribing Profile
39
Unique Drugs
49.0
Anomaly Score
Patient Profile
68
Avg Age
67%
Female
1.82
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