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
5,979
Total Claims
$425K
Drug Cost
939
Beneficiaries
$453
Cost/Patient
Risk Score Breakdown 46/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1763%
Opioid rate vs peers
70.4% vs 3.8% avg
-61%
Cost per patient vs peers
$453 vs $1,174 avg
-36%
Brand preference vs peers
5.7% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid prescribing rate is 1,763% above the average for Nurse Practitioner providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
70.4%
Opioid Rate
4,212
Opioid Claims
$314K
Opioid Cost
12.8%
Long-Acting Rate
This provider's opioid prescribing rate of 70.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 338 claims · $180K
Generic: 5,641 claims · $245K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 1,954 | $71K |
| Oxycodone Myristate | 34 | $34K |
| Oxymorphone Hcl | 35 | $33K |
| Tapentadol Hcl | 25 | $31K |
| Oxycodone Hcl | 36 | $28K |
| Buprenorphine | 91 | $27K |
| Oxycodone Hcl/Acetaminophen | 708 | $27K |
| Oxycodone Hcl | 592 | $18K |
| Naloxegol Oxalate | 42 | $17K |
| Lidocaine | 15 | $11K |
| Pregabalin | 307 | $11K |
| Naloxone Hcl | 96 | $8,532 |
| Gabapentin | 403 | $7,262 |
| Diclofenac Sodium | 88 | $6,241 |
| Morphine Sulfate | 111 | $5,965 |
Prescribing Profile
29
Unique Drugs
46.0
Anomaly Score
Patient Profile
64
Avg Age
68%
Female
1.69
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