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
5,228
Total Claims
$298K
Drug Cost
777
Beneficiaries
$384
Cost/Patient
Risk Score Breakdown 59/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1411%
Opioid rate vs peers
57.1% vs 3.8% avg
-67%
Cost per patient vs peers
$384 vs $1,174 avg
-19%
Brand preference vs peers
7.2% 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
57.1%
Opioid Rate
2,987
Opioid Claims
$221K
Opioid Cost
24.7%
Long-Acting Rate
This provider's opioid prescribing rate of 57.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 376 claims · $146K
Generic: 4,852 claims · $152K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Myristate | 142 | $82K |
| Naloxegol Oxalate | 48 | $20K |
| Buprenorphine | 68 | $20K |
| Hydrocodone/Acetaminophen | 684 | $20K |
| Oxycodone Hcl/Acetaminophen | 425 | $17K |
| Buprenorphine Hcl | 19 | $17K |
| Oxycodone Hcl | 547 | $12K |
| Hydromorphone Hcl | 37 | $12K |
| Morphine Sulfate | 307 | $8,907 |
| Gabapentin | 523 | $7,377 |
| Pregabalin | 127 | $6,311 |
| Hydrocodone Bitartrate | 15 | $6,110 |
| Lidocaine | 49 | $5,443 |
| Tramadol Hcl | 66 | $5,238 |
| Oxycodone Hcl | 18 | $5,123 |
Prescribing Profile
35
Unique Drugs
59.0
Anomaly Score
Patient Profile
71
Avg Age
64%
Female
1.70
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