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: 85%
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
5,225
Total Claims
$787K
Drug Cost
292
Beneficiaries
$2,694
Cost/Patient
Risk Score Breakdown 64/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1700%
Opioid rate vs peers
68.1% vs 3.8% avg
+129%
Cost per patient vs peers
$2,694 vs $1,174 avg
+144%
Brand preference vs peers
21.6% 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
68.1%
Opioid Rate
3,557
Opioid Claims
$621K
Opioid Cost
52.0%
Long-Acting Rate
This provider's opioid prescribing rate of 68.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 1,130 claims · $562K
Generic: 4,095 claims · $224K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Buprenorphine Hcl | 291 | $294K |
| Oxycodone Hcl | 120 | $74K |
| Buprenorphine Hcl/Naloxone Hcl | 226 | $55K |
| Buprenorphine | 140 | $53K |
| Oxycodone Myristate | 51 | $35K |
| Linaclotide | 44 | $25K |
| Fentanyl | 199 | $24K |
| Morphine Sulfate | 625 | $21K |
| Hydromorphone Hcl | 50 | $21K |
| Buprenorphine Hcl/Naloxone Hcl | 349 | $19K |
| Hydrocodone/Acetaminophen | 558 | $16K |
| Hydrocodone Bitartrate | 26 | $14K |
| Tapentadol Hcl | 14 | $13K |
| Pregabalin | 197 | $13K |
| Oxycodone Hcl | 455 | $11K |
Prescribing Profile
32
Unique Drugs
64.0
Anomaly Score
Patient Profile
63
Avg Age
57%
Female
1.58
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