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
5,183
Total Claims
$788K
Drug Cost
371
Beneficiaries
$2,125
Cost/Patient
Risk Score Breakdown 55/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1817%
Opioid rate vs peers
72.5% vs 3.8% avg
+81%
Cost per patient vs peers
$2,125 vs $1,174 avg
+74%
Brand preference vs peers
15.4% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
72.5%
Opioid Rate
3,757
Opioid Claims
$645K
Opioid Cost
32.7%
Long-Acting Rate
This provider's opioid prescribing rate of 72.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 799 claims · $558K
Generic: 4,384 claims · $231K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 330 | $246K |
| Oxycodone Myristate | 188 | $132K |
| Methylnaltrexone Bromide | 35 | $73K |
| Oxycodone Hcl/Acetaminophen | 12 | $50K |
| Oxycodone Hcl/Acetaminophen | 1,239 | $37K |
| Buprenorphine Hcl | 57 | $37K |
| Oxymorphone Hcl | 40 | $36K |
| Oxycodone Hcl | 630 | $15K |
| Morphine Sulfate | 353 | $15K |
| Fentanyl | 154 | $12K |
| Lidocaine | 23 | $12K |
| Naloxegol Oxalate | 26 | $11K |
| Hydrocodone Bitartrate | 12 | $8,583 |
| Hydrocodone/Acetaminophen | 270 | $7,156 |
| Pregabalin | 241 | $7,059 |
Prescribing Profile
34
Unique Drugs
55.0
Anomaly Score
Patient Profile
70
Avg Age
59%
Female
2.13
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