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
7,971
Total Claims
$814K
Drug Cost
858
Beneficiaries
$949
Cost/Patient
Risk Score Breakdown 59/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1626%
Opioid rate vs peers
65.3% vs 3.8% avg
-19%
Cost per patient vs peers
$949 vs $1,174 avg
+16%
Brand preference vs peers
10.3% 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
65.3%
Opioid Rate
5,203
Opioid Claims
$649K
Opioid Cost
28.3%
Long-Acting Rate
This provider's opioid prescribing rate of 65.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 823 claims · $514K
Generic: 7,148 claims · $300K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 195 | $170K |
| Oxycodone Myristate | 229 | $149K |
| Buprenorphine Hcl | 74 | $61K |
| Oxycodone Hcl/Acetaminophen | 12 | $58K |
| Oxycodone Hcl | 1,633 | $45K |
| Buprenorphine Hcl/Naloxone Hcl | 169 | $31K |
| Oxycodone Hcl/Acetaminophen | 942 | $28K |
| Tapentadol Hcl | 23 | $24K |
| Lidocaine | 22 | $23K |
| Hydrocodone/Acetaminophen | 592 | $20K |
| Fentanyl | 165 | $18K |
| Morphine Sulfate | 505 | $18K |
| Naloxegol Oxalate | 40 | $17K |
| Buprenorphine | 46 | $16K |
| Naldemedine Tosylate | 23 | $11K |
Prescribing Profile
51
Unique Drugs
59.0
Anomaly Score
Patient Profile
65
Avg Age
62%
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