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
5,038
Total Claims
$419K
Drug Cost
586
Beneficiaries
$715
Cost/Patient
Risk Score Breakdown 49/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1655%
Opioid rate vs peers
66.4% vs 3.8% avg
-39%
Cost per patient vs peers
$715 vs $1,174 avg
+3%
Brand preference vs peers
9.1% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid prescribing rate is 1,655% above the average for Nurse Practitioner providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
66.4%
Opioid Rate
3,345
Opioid Claims
$362K
Opioid Cost
39.4%
Long-Acting Rate
This provider's opioid prescribing rate of 66.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 458 claims · $274K
Generic: 4,580 claims · $144K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Myristate | 190 | $116K |
| Oxycodone Hcl | 107 | $56K |
| Buprenorphine Hcl | 57 | $51K |
| Fentanyl | 195 | $18K |
| Oxycodone Hcl/Acetaminophen | 776 | $16K |
| Pregabalin | 441 | $15K |
| Buprenorphine | 52 | $15K |
| Morphine Sulfate | 427 | $15K |
| Hydrocodone/Acetaminophen | 673 | $14K |
| Tapentadol Hcl | 12 | $14K |
| Gabapentin | 438 | $9,538 |
| Hydrocodone Bitartrate | 15 | $8,986 |
| Naloxegol Oxalate | 13 | $6,291 |
| Tramadol Hcl | 474 | $5,111 |
| Methadone Hcl | 173 | $3,518 |
Prescribing Profile
30
Unique Drugs
49.0
Anomaly Score
Patient Profile
69
Avg Age
66%
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