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 →55
🔴 High Risk
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
5,442
Total Claims
$430K
Drug Cost
530
Beneficiaries
$812
Cost/Patient
Risk Score Breakdown 55/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1741%
Opioid rate vs peers
69.6% vs 3.8% avg
-31%
Cost per patient vs peers
$812 vs $1,174 avg
+7%
Brand preference vs peers
9.5% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
69.6%
Opioid Rate
3,790
Opioid Claims
$344K
Opioid Cost
27.7%
Long-Acting Rate
This provider's opioid prescribing rate of 69.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 517 claims · $262K
Generic: 4,925 claims · $169K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 281 | $146K |
| Oxycodone Myristate | 87 | $66K |
| Oxycodone Hcl | 1,757 | $49K |
| Oxymorphone Hcl | 33 | $21K |
| Oxycodone Hcl/Acetaminophen | 562 | $18K |
| Lidocaine | 57 | $15K |
| Morphine Sulfate | 514 | $14K |
| Naloxegol Oxalate | 25 | $13K |
| Fentanyl | 101 | $9,853 |
| Gabapentin | 413 | $7,885 |
| Hydrocodone/Acetaminophen | 243 | $7,283 |
| Cyclobenzaprine Hcl | 383 | $7,136 |
| Pregabalin | 163 | $5,220 |
| Tizanidine Hcl | 195 | $2,703 |
| Morphine Sulfate | 44 | $1,392 |
Prescribing Profile
27
Unique Drugs
55.0
Anomaly Score
Patient Profile
67
Avg Age
70%
Female
1.36
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