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: 88%
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
6,403
Total Claims
$570K
Drug Cost
221
Beneficiaries
$2,580
Cost/Patient
Risk Score Breakdown 62/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1631%
Opioid rate vs peers
65.5% vs 3.8% avg
+120%
Cost per patient vs peers
$2,580 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
65.5%
Opioid Rate
4,191
Opioid Claims
$392K
Opioid Cost
28.7%
Long-Acting Rate
This provider's opioid prescribing rate of 65.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 5,920 claims · $317K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 99 | $189K |
| Levorphanol Tartrate | 27 | $84K |
| Oxycodone Hcl | 1,687 | $62K |
| Hydromorphone Hcl | 607 | $32K |
| Fentanyl | 146 | $23K |
| Oxycodone Myristate | 16 | $22K |
| Buprenorphine Hcl/Naloxone Hcl | 168 | $17K |
| Buprenorphine Hcl | 382 | $16K |
| Morphine Sulfate | 369 | $15K |
| Methadone Hcl | 559 | $13K |
| Morphine Sulfate | 300 | $13K |
| Hydrocodone/Acetaminophen | 288 | $10K |
| Milnacipran Hcl | 12 | $6,283 |
| Lubiprostone | 22 | $5,868 |
| Tizanidine Hcl | 220 | $3,838 |
Prescribing Profile
47
Unique Drugs
62.0
Anomaly Score
Patient Profile
67
Avg Age
60%
Female
1.25
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