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
9,767
Total Claims
$645K
Drug Cost
810
Beneficiaries
$796
Cost/Patient
Risk Score Breakdown 45/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1612%
Opioid rate vs peers
64.8% vs 3.8% avg
-32%
Cost per patient vs peers
$796 vs $1,174 avg
-47%
Brand preference vs peers
4.7% 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 1,612% 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
64.8%
Opioid Rate
6,325
Opioid Claims
$503K
Opioid Cost
13.9%
Long-Acting Rate
This provider's opioid prescribing rate of 64.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 455 claims · $345K
Generic: 9,312 claims · $300K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Myristate | 144 | $121K |
| Oxycodone Hcl | 139 | $107K |
| Hydrocodone/Acetaminophen | 2,879 | $73K |
| Oxycodone Hcl/Acetaminophen | 1,761 | $57K |
| Hydrocodone Bitartrate | 34 | $40K |
| Buprenorphine Hcl | 41 | $33K |
| Linaclotide | 39 | $31K |
| Pregabalin | 518 | $19K |
| Gabapentin | 607 | $19K |
| Naloxone Hcl | 223 | $18K |
| Fentanyl | 124 | $18K |
| Oxycodone Hcl | 606 | $13K |
| Morphine Sulfate | 351 | $13K |
| Diclofenac Sodium | 433 | $11K |
| Tizanidine Hcl | 473 | $8,847 |
Prescribing Profile
30
Unique Drugs
45.0
Anomaly Score
Patient Profile
62
Avg Age
67%
Female
1.98
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