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
5,360
Total Claims
$282K
Drug Cost
501
Beneficiaries
$564
Cost/Patient
Risk Score Breakdown 51/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1790%
Opioid rate vs peers
71.5% vs 3.8% avg
-52%
Cost per patient vs peers
$564 vs $1,174 avg
-52%
Brand preference vs peers
4.2% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
71.5%
Opioid Rate
3,832
Opioid Claims
$204K
Opioid Cost
14.4%
Long-Acting Rate
This provider's opioid prescribing rate of 71.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 226 claims · $122K
Generic: 5,134 claims · $160K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 1,481 | $48K |
| Oxycodone Myristate | 60 | $33K |
| Oxycodone Hcl/Acetaminophen | 835 | $33K |
| Oxycodone Hcl | 23 | $23K |
| Naloxegol Oxalate | 38 | $19K |
| Oxycodone Hcl | 638 | $17K |
| Buprenorphine Hcl | 21 | $14K |
| Buprenorphine | 41 | $9,990 |
| Lidocaine | 91 | $9,574 |
| Pregabalin | 227 | $8,624 |
| Gabapentin | 331 | $6,388 |
| Morphine Sulfate | 296 | $5,246 |
| Lubiprostone | 14 | $4,284 |
| Metaxalone | 11 | $2,969 |
| Tizanidine Hcl | 255 | $2,915 |
Prescribing Profile
28
Unique Drugs
51.0
Anomaly Score
Patient Profile
65
Avg Age
64%
Female
1.87
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