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
6,935
Total Claims
$657K
Drug Cost
557
Beneficiaries
$1,179
Cost/Patient
Risk Score Breakdown 59/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1597%
Opioid rate vs peers
64.2% vs 3.8% avg
0%
Cost per patient vs peers
$1,179 vs $1,174 avg
+32%
Brand preference vs peers
11.7% 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
64.2%
Opioid Rate
4,451
Opioid Claims
$545K
Opioid Cost
20.8%
Long-Acting Rate
This provider's opioid prescribing rate of 64.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 813 claims · $322K
Generic: 6,122 claims · $335K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl/Acetaminophen | 38 | $153K |
| Oxycodone Hcl | 236 | $123K |
| Buprenorphine Hcl | 122 | $92K |
| Oxycodone Hcl | 1,839 | $46K |
| Lidocaine | 212 | $26K |
| Oxycodone Myristate | 30 | $21K |
| Oxycodone Hcl/Acetaminophen | 598 | $17K |
| Tapentadol Hcl | 11 | $15K |
| Diclofenac Sodium | 17 | $14K |
| Hydrocodone/Acetaminophen | 482 | $14K |
| Morphine Sulfate | 344 | $12K |
| Gabapentin | 695 | $12K |
| Buprenorphine | 28 | $12K |
| Tapentadol Hcl | 12 | $12K |
| Naldemedine Tosylate | 24 | $11K |
Prescribing Profile
39
Unique Drugs
59.0
Anomaly Score
Patient Profile
66
Avg Age
61%
Female
1.53
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