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
5,696
Total Claims
$949K
Drug Cost
430
Beneficiaries
$2,206
Cost/Patient
Risk Score Breakdown 59/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1481%
Opioid rate vs peers
59.8% vs 3.8% avg
+88%
Cost per patient vs peers
$2,206 vs $1,174 avg
+56%
Brand preference vs peers
13.8% 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
59.8%
Opioid Rate
3,405
Opioid Claims
$544K
Opioid Cost
31.8%
Long-Acting Rate
This provider's opioid prescribing rate of 59.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 787 claims · $641K
Generic: 4,909 claims · $307K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Methylnaltrexone Bromide | 54 | $146K |
| Oxycodone Hcl | 141 | $97K |
| Oxycodone Hcl/Acetaminophen | 879 | $90K |
| Buprenorphine Hcl | 89 | $77K |
| Ubrogepant | 45 | $68K |
| Oxycodone Myristate | 91 | $65K |
| Atogepant | 28 | $38K |
| Tapentadol Hcl | 23 | $36K |
| Oxycodone Hcl/Acetaminophen | 12 | $34K |
| Naloxegol Oxalate | 58 | $28K |
| Morphine Sulfate | 599 | $23K |
| Lidocaine | 20 | $19K |
| Fentanyl | 79 | $15K |
| Oxycodone Hcl | 494 | $14K |
| Gabapentin | 310 | $12K |
Prescribing Profile
45
Unique Drugs
59.0
Anomaly Score
Patient Profile
69
Avg Age
65%
Female
1.61
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