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
6,429
Total Claims
$607K
Drug Cost
578
Beneficiaries
$1,050
Cost/Patient
Risk Score Breakdown 40/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1434%
Opioid rate vs peers
58.0% vs 3.8% avg
-11%
Cost per patient vs peers
$1,050 vs $1,174 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
58.0%
Opioid Rate
3,731
Opioid Claims
$240K
Opioid Cost
11.1%
Long-Acting Rate
This provider's opioid prescribing rate of 58.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 5,957 claims · $222K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Methylnaltrexone Bromide | 35 | $86K |
| Hydrocodone/Acetaminophen | 1,769 | $51K |
| Ubrogepant | 48 | $50K |
| Buprenorphine Hcl | 55 | $46K |
| Oxycodone Hcl/Acetaminophen | 1,042 | $46K |
| Lidocaine | 315 | $38K |
| Buprenorphine | 113 | $34K |
| Tapentadol Hcl | 23 | $32K |
| Naloxegol Oxalate | 34 | $21K |
| Linaclotide | 29 | $21K |
| Pregabalin | 284 | $19K |
| Rimegepant Sulfate | 16 | $17K |
| Erenumab-Aooe | 14 | $11K |
| Lidocaine | 18 | $9,909 |
| Gabapentin | 552 | $8,525 |
Prescribing Profile
42
Unique Drugs
40.0
Anomaly Score
Patient Profile
67
Avg Age
64%
Female
1.79
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