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
6,611
Total Claims
$358K
Drug Cost
632
Beneficiaries
$566
Cost/Patient
Risk Score Breakdown 54/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1640%
Opioid rate vs peers
65.8% vs 3.8% avg
-52%
Cost per patient vs peers
$566 vs $1,174 avg
-59%
Brand preference vs peers
3.6% 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
65.8%
Opioid Rate
4,351
Opioid Claims
$184K
Opioid Cost
17.7%
Long-Acting Rate
This provider's opioid prescribing rate of 65.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 240 claims · $120K
Generic: 6,371 claims · $238K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 1,937 | $70K |
| Oxycodone Hcl/Acetaminophen | 902 | $45K |
| Methylnaltrexone Bromide | 13 | $31K |
| Naloxegol Oxalate | 33 | $21K |
| Oxycodone Hcl | 34 | $15K |
| Oxycodone Hcl | 520 | $15K |
| Oxycodone Myristate | 32 | $15K |
| Pregabalin | 206 | $13K |
| Milnacipran Hcl | 13 | $9,768 |
| Linaclotide | 12 | $8,537 |
| Gabapentin | 377 | $7,013 |
| Fentanyl | 104 | $6,838 |
| Morphine Sulfate | 402 | $6,686 |
| Lidocaine | 26 | $6,065 |
| Lubiprostone | 13 | $4,882 |
Prescribing Profile
40
Unique Drugs
54.0
Anomaly Score
Patient Profile
67
Avg Age
62%
Female
1.66
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