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
5,597
Total Claims
$299K
Drug Cost
546
Beneficiaries
$548
Cost/Patient
Risk Score Breakdown 40/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1388%
Opioid rate vs peers
56.3% vs 3.8% avg
-53%
Cost per patient vs peers
$548 vs $1,174 avg
-39%
Brand preference vs peers
5.4% 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 1,388% 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
56.3%
Opioid Rate
3,149
Opioid Claims
$174K
Opioid Cost
10.0%
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: 305 claims · $154K
Generic: 5,292 claims · $145K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 1,592 | $40K |
| Oxycodone Hcl | 50 | $38K |
| Methylnaltrexone Bromide | 11 | $25K |
| Buprenorphine Hcl | 29 | $21K |
| Lidocaine | 22 | $16K |
| Naloxegol Oxalate | 37 | $15K |
| Oxycodone Hcl/Acetaminophen | 482 | $15K |
| Fentanyl | 22 | $12K |
| Tapentadol Hcl | 11 | $12K |
| Lidocaine | 96 | $11K |
| Buprenorphine | 41 | $9,502 |
| Gabapentin | 623 | $9,387 |
| Oxycodone Hcl | 268 | $6,167 |
| Tramadol Hcl | 297 | $5,290 |
| Lubiprostone | 19 | $5,253 |
Prescribing Profile
32
Unique Drugs
40.0
Anomaly Score
Patient Profile
70
Avg Age
63%
Female
1.96
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