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
5,051
Total Claims
$437K
Drug Cost
301
Beneficiaries
$1,452
Cost/Patient
Risk Score Breakdown 45/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1371%
Opioid rate vs peers
55.7% vs 3.8% avg
+24%
Cost per patient vs peers
$1,452 vs $1,174 avg
-14%
Brand preference vs peers
7.6% 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 1,371% 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
55.7%
Opioid Rate
2,811
Opioid Claims
$356K
Opioid Cost
18.1%
Long-Acting Rate
This provider's opioid prescribing rate of 55.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 383 claims · $219K
Generic: 4,668 claims · $219K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl/Acetaminophen | 634 | $89K |
| Buprenorphine Hcl | 97 | $87K |
| Buprenorphine | 140 | $54K |
| Oxycodone Myristate | 81 | $52K |
| Hydrocodone/Acetaminophen | 794 | $24K |
| Linaclotide | 30 | $17K |
| Oxycodone Hcl | 711 | $12K |
| Buprenorphine | 12 | $12K |
| Oxycodone Hcl | 12 | $10K |
| Fentanyl | 22 | $6,698 |
| Gabapentin | 485 | $6,672 |
| Baclofen | 473 | $6,195 |
| Naloxone Hcl | 70 | $5,928 |
| Pregabalin | 156 | $3,223 |
| Lidocaine | 30 | $3,218 |
Prescribing Profile
35
Unique Drugs
45.0
Anomaly Score
Patient Profile
64
Avg Age
64%
Female
2.17
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