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
5,319
Total Claims
$457K
Drug Cost
442
Beneficiaries
$1,034
Cost/Patient
Risk Score Breakdown 59/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1674%
Opioid rate vs peers
67.1% vs 3.8% avg
-12%
Cost per patient vs peers
$1,034 vs $1,174 avg
+1%
Brand preference vs peers
8.9% 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
67.1%
Opioid Rate
3,568
Opioid Claims
$340K
Opioid Cost
30.4%
Long-Acting Rate
This provider's opioid prescribing rate of 67.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 476 claims · $255K
Generic: 4,843 claims · $202K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Myristate | 146 | $79K |
| Buprenorphine | 187 | $56K |
| Hydrocodone/Acetaminophen | 1,863 | $55K |
| Tapentadol Hcl | 81 | $49K |
| Oxymorphone Hcl | 79 | $27K |
| Naldemedine Tosylate | 22 | $21K |
| Buprenorphine Hcl | 41 | $19K |
| Linaclotide | 27 | $17K |
| Oxycodone Hcl | 34 | $15K |
| Morphine Sulfate | 464 | $12K |
| Naloxegol Oxalate | 25 | $10K |
| Gabapentin | 321 | $8,408 |
| Oxycodone Hcl/Acetaminophen | 205 | $7,790 |
| Pregabalin | 173 | $6,573 |
| Diclofenac Sodium | 97 | $6,064 |
Prescribing Profile
36
Unique Drugs
59.0
Anomaly Score
Patient Profile
70
Avg Age
61%
Female
1.43
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