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 →🤖 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
5,738
Total Claims
$517K
Drug Cost
275
Beneficiaries
$1,881
Cost/Patient
Risk Score Breakdown 62/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1523%
Opioid rate vs peers
61.4% vs 3.8% avg
+60%
Cost per patient vs peers
$1,881 vs $1,174 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
61.4%
Opioid Rate
3,522
Opioid Claims
$385K
Opioid Cost
27.2%
Long-Acting Rate
This provider's opioid prescribing rate of 61.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 5,121 claims · $184K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Buprenorphine Hcl | 102 | $97K |
| Oxycodone Hcl | 131 | $63K |
| Oxycodone Myristate | 108 | $58K |
| Oxycodone Hcl | 1,732 | $56K |
| Hydrocodone Bitartrate | 20 | $37K |
| Buprenorphine Hcl/Naloxone Hcl | 68 | $17K |
| Buprenorphine | 14 | $14K |
| Naloxone Hcl | 150 | $13K |
| Naloxegol Oxalate | 25 | $11K |
| Oxycodone Hcl/Acetaminophen | 222 | $9,650 |
| Morphine Sulfate | 412 | $9,484 |
| Buprenorphine | 21 | $9,078 |
| Morphine Sulfate | 171 | $9,042 |
| Hydrocodone/Acetaminophen | 296 | $7,382 |
| Fentanyl | 67 | $6,910 |
Prescribing Profile
51
Unique Drugs
62.0
Anomaly Score
Patient Profile
65
Avg Age
59%
Female
1.60
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About