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: 88%
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
5,441
Total Claims
$304K
Drug Cost
390
Beneficiaries
$779
Cost/Patient
Risk Score Breakdown 64/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1530%
Opioid rate vs peers
61.7% vs 3.8% avg
-34%
Cost per patient vs peers
$779 vs $1,174 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
61.7%
Opioid Rate
3,355
Opioid Claims
$228K
Opioid Cost
22.7%
Long-Acting Rate
This provider's opioid prescribing rate of 61.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 5,084 claims · $170K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Myristate | 61 | $53K |
| Buprenorphine | 133 | $40K |
| Oxycodone Hcl | 933 | $27K |
| Hydrocodone/Acetaminophen | 731 | $25K |
| Oxycodone Hcl | 21 | $16K |
| Oxycodone Hcl/Acetaminophen | 409 | $14K |
| Fentanyl | 120 | $9,996 |
| Buprenorphine Hcl/Naloxone Hcl | 56 | $9,520 |
| Morphine Sulfate | 260 | $7,398 |
| Hydrocodone Bitartrate | 16 | $6,017 |
| Milnacipran Hcl | 12 | $5,960 |
| Pregabalin | 107 | $5,676 |
| Buprenorphine Hcl | 47 | $5,042 |
| Gabapentin | 238 | $5,032 |
| Morphine Sulfate | 125 | $4,661 |
Prescribing Profile
56
Unique Drugs
64.0
Anomaly Score
Patient Profile
72
Avg Age
64%
Female
1.63
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