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 →64
🔴 High Risk
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
6,104
Total Claims
$490K
Drug Cost
633
Beneficiaries
$775
Cost/Patient
Risk Score Breakdown 64/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1832%
Opioid rate vs peers
73.1% vs 3.8% avg
-34%
Cost per patient vs peers
$775 vs $1,174 avg
-34%
Brand preference vs peers
5.8% 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
73.1%
Opioid Rate
4,460
Opioid Claims
$370K
Opioid Cost
23.6%
Long-Acting Rate
This provider's opioid prescribing rate of 73.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 356 claims · $222K
Generic: 5,748 claims · $269K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl/Acetaminophen | 1,052 | $48K |
| Tapentadol Hcl | 34 | $39K |
| Hydrocodone/Acetaminophen | 1,033 | $33K |
| Oxycodone Hcl | 825 | $30K |
| Buprenorphine Hcl | 27 | $26K |
| Buprenorphine | 64 | $19K |
| Oxycodone Myristate | 31 | $19K |
| Tapentadol Hcl | 22 | $19K |
| Oxycodone Hcl | 25 | $19K |
| Hydrocodone Bitartrate | 33 | $18K |
| Gabapentin | 543 | $16K |
| Morphine Sulfate | 638 | $14K |
| Gabapentin | 11 | $14K |
| Pregabalin | 144 | $11K |
| Fentanyl | 117 | $11K |
Prescribing Profile
36
Unique Drugs
64.0
Anomaly Score
Patient Profile
65
Avg Age
62%
Female
1.70
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