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
7,043
Total Claims
$461K
Drug Cost
669
Beneficiaries
$689
Cost/Patient
Risk Score Breakdown 54/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1636%
Opioid rate vs peers
65.7% vs 3.8% avg
-41%
Cost per patient vs peers
$689 vs $1,174 avg
-33%
Brand preference vs peers
6.0% 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
65.7%
Opioid Rate
4,624
Opioid Claims
$342K
Opioid Cost
18.7%
Long-Acting Rate
This provider's opioid prescribing rate of 65.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 421 claims · $254K
Generic: 6,622 claims · $207K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 130 | $94K |
| Hydrocodone/Acetaminophen | 1,966 | $57K |
| Tapentadol Hcl | 37 | $48K |
| Oxycodone Myristate | 33 | $28K |
| Oxycodone Hcl/Acetaminophen | 687 | $26K |
| Oxycodone Hcl | 739 | $24K |
| Morphine Sulfate | 442 | $21K |
| Lubiprostone | 52 | $15K |
| Rimegepant Sulfate | 13 | $13K |
| Gabapentin | 28 | $11K |
| Buprenorphine | 30 | $7,998 |
| Pregabalin | 12 | $7,988 |
| Linaclotide | 13 | $6,582 |
| Baclofen | 282 | $5,121 |
| Naldemedine Tosylate | 12 | $5,111 |
Prescribing Profile
50
Unique Drugs
54.0
Anomaly Score
Patient Profile
69
Avg Age
69%
Female
1.53
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