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 →59
🔴 High Risk
🤖 ML Fraud Detection Score: 84%
Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
5,615
Total Claims
$434K
Drug Cost
309
Beneficiaries
$1,406
Cost/Patient
Risk Score Breakdown 59/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1565%
Opioid rate vs peers
63.0% vs 3.8% avg
+20%
Cost per patient vs peers
$1,406 vs $1,174 avg
-9%
Brand preference vs peers
8.0% 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
63.0%
Opioid Rate
3,536
Opioid Claims
$327K
Opioid Cost
34.4%
Long-Acting Rate
This provider's opioid prescribing rate of 63.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 451 claims · $252K
Generic: 5,164 claims · $183K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Buprenorphine | 147 | $57K |
| Oxycodone Hcl | 70 | $53K |
| Oxycodone Myristate | 80 | $46K |
| Buprenorphine Hcl | 44 | $43K |
| Fentanyl | 265 | $26K |
| Hydrocodone/Acetaminophen | 835 | $25K |
| Atogepant | 16 | $20K |
| Buprenorphine | 29 | $17K |
| Pregabalin | 382 | $12K |
| Oxycodone Hcl | 409 | $10K |
| Morphine Sulfate | 402 | $9,532 |
| Tramadol Hcl | 638 | $8,713 |
| Naloxegol Oxalate | 20 | $8,477 |
| Gabapentin | 418 | $8,259 |
| Oxycodone Hcl/Acetaminophen | 198 | $6,130 |
Prescribing Profile
43
Unique Drugs
59.0
Anomaly Score
Patient Profile
67
Avg Age
62%
Female
1.58
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