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
9,497
Total Claims
$505K
Drug Cost
856
Beneficiaries
$590
Cost/Patient
Risk Score Breakdown 59/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1552%
Opioid rate vs peers
62.5% vs 3.8% avg
-50%
Cost per patient vs peers
$590 vs $1,174 avg
-59%
Brand preference vs peers
3.7% 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
62.5%
Opioid Rate
5,933
Opioid Claims
$408K
Opioid Cost
22.1%
Long-Acting Rate
This provider's opioid prescribing rate of 62.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 348 claims · $234K
Generic: 9,149 claims · $271K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Myristate | 122 | $112K |
| Hydrocodone/Acetaminophen | 2,077 | $51K |
| Fentanyl | 372 | $47K |
| Tapentadol Hcl | 30 | $43K |
| Oxycodone Hcl/Acetaminophen | 1,335 | $41K |
| Oxycodone Hcl | 33 | $28K |
| Oxymorphone Hcl | 27 | $26K |
| Morphine Sulfate | 681 | $24K |
| Naloxegol Oxalate | 30 | $22K |
| Gabapentin | 714 | $12K |
| Pregabalin | 476 | $11K |
| Linaclotide | 17 | $11K |
| Oxycodone Hcl | 345 | $7,611 |
| Duloxetine Hcl | 194 | $6,964 |
| Tramadol Hcl | 719 | $6,053 |
Prescribing Profile
42
Unique Drugs
59.0
Anomaly Score
Patient Profile
69
Avg Age
70%
Female
1.66
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