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 →60
🔴 High Risk
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
8,331
Total Claims
$527K
Drug Cost
720
Beneficiaries
$732
Cost/Patient
Risk Score Breakdown 60/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1745%
Opioid rate vs peers
69.8% vs 3.8% avg
-38%
Cost per patient vs peers
$732 vs $1,174 avg
-50%
Brand preference vs peers
4.5% 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
69.8%
Opioid Rate
5,814
Opioid Claims
$422K
Opioid Cost
18.7%
Long-Acting Rate
This provider's opioid prescribing rate of 69.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 373 claims · $233K
Generic: 7,958 claims · $295K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 139 | $85K |
| Hydrocodone/Acetaminophen | 2,453 | $84K |
| Tapentadol Hcl | 41 | $48K |
| Oxymorphone Hcl | 45 | $36K |
| Oxycodone Hcl/Acetaminophen | 914 | $35K |
| Oxycodone Hcl | 874 | $31K |
| Oxycodone Myristate | 33 | $29K |
| Morphine Sulfate | 536 | $21K |
| Lidocaine | 68 | $13K |
| Pregabalin | 12 | $11K |
| Naloxegol Oxalate | 26 | $11K |
| Buprenorphine Hcl | 12 | $10K |
| Fentanyl | 125 | $10K |
| Tapentadol Hcl | 14 | $9,903 |
| Galcanezumab-Gnlm | 12 | $8,866 |
Prescribing Profile
42
Unique Drugs
60.0
Anomaly Score
Patient Profile
68
Avg Age
69%
Female
1.51
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