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
5,589
Total Claims
$249K
Drug Cost
440
Beneficiaries
$567
Cost/Patient
Risk Score Breakdown 46/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1717%
Opioid rate vs peers
68.7% vs 3.8% avg
-52%
Cost per patient vs peers
$567 vs $1,174 avg
-62%
Brand preference vs peers
3.3% 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 1,717% 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
68.7%
Opioid Rate
3,842
Opioid Claims
$186K
Opioid Cost
10.5%
Long-Acting Rate
This provider's opioid prescribing rate of 68.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 187 claims · $119K
Generic: 5,402 claims · $130K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 1,941 | $42K |
| Buprenorphine Hcl | 43 | $37K |
| Oxycodone Hcl/Acetaminophen | 774 | $24K |
| Oxycodone Hcl | 35 | $21K |
| Oxycodone Myristate | 31 | $19K |
| Linaclotide | 24 | $13K |
| Diclofenac Sodium | 149 | $12K |
| Naloxegol Oxalate | 24 | $10K |
| Oxycodone Hcl | 450 | $8,999 |
| Gabapentin | 459 | $8,762 |
| Fentanyl | 115 | $7,672 |
| Morphine Sulfate | 163 | $4,428 |
| Pregabalin | 199 | $4,117 |
| Tapentadol Hcl | 12 | $4,020 |
| Tizanidine Hcl | 172 | $3,220 |
Prescribing Profile
25
Unique Drugs
46.0
Anomaly Score
Patient Profile
71
Avg Age
66%
Female
1.61
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