⚠️ 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 → 6,706 providers flagged by our multi-factor statistical model — 233 high-risk (score ≥50) and 6,473 elevated (score ≥30). Scores combine specialty-adjusted peer comparison, population percentiles, drug combination analysis, and OIG exclusion matching.
Important: Risk scores are statistical indicators based on publicly available prescribing data. They do not constitute allegations of fraud, abuse, or medical malpractice. Many flagged patterns have legitimate clinical explanations.
Read our methodology . Also see our
ML Fraud Detection — a machine learning model trained on confirmed fraud cases. ·
Dispute this data All (500) High Risk ≥50 (233) OIG Excluded (19) Opioid+Benzo (89)
Showing 50 of 500 providers, sorted by risk score.
Internal Medicine · Beverly Hills, CA
226 claims$75K drug cost62.4% opioid$5,025 /patient
🔴 Extreme opioid rate vs specialty peers 🟠 95th percentile opioid rate 💰 Elevated cost 💊 High long-acting opioid vs peers +3 more
Family Practice · Oklahoma City, OK
23,091 claims$3.2M drug cost53.6% opioid$1,832 /patient
🔴 Extreme opioid rate vs specialty peers 🟠 95th percentile opioid rate 💊 High long-acting opioid vs peers ⚠️ High antipsychotic prescribing to 65+ +1 more
Neurology · Columbia, SC
12,958 claims$2.8M drug cost42.2% opioid$5,246 /patient
🔴 Extreme opioid rate vs specialty peers 🟡 90th percentile opioid rate 💰 Elevated cost 💊 High long-acting opioid vs peers +3 more
Family Practice · Bedford, TX
9,392 claims$862K drug cost49.8% opioid$1,285 /patient
🔴 Extreme opioid rate vs specialty peers 🟠 95th percentile opioid rate 💊 Elevated long-acting opioid rate ⚠️ High antipsychotic prescribing to 65+ +1 more
Nurse Practitioner · Morristown, TN
6,198 claims$425K drug cost60.3% opioid$1,012 /patient
🔴 Extreme opioid rate vs specialty peers 🟠 95th percentile opioid rate 💊 High long-acting opioid vs peers ⚠️ Elevated antipsychotic prescribing to 65+ +1 more
Nurse Practitioner · Canon City, CO
5,896 claims$902K drug cost67.7% opioid$1,965 /patient
🔴 Extreme opioid rate vs specialty peers 🔴 99th percentile opioid rate 💊 High long-acting opioid vs peers ☠️ Opioid + benzo co-prescriber
Nurse Practitioner · Farmington, CT
7,769 claims$1.6M drug cost69.3% opioid$2,416 /patient
🔴 Extreme opioid rate vs specialty peers 🔴 99th percentile opioid rate 💊 High long-acting opioid vs peers ☠️ Opioid + benzo co-prescriber
Family Practice · Branson, MO
9,061 claims$839K drug cost57.5% opioid$824 /patient
🔴 Extreme opioid rate vs specialty peers 🟠 95th percentile opioid rate 💊 High long-acting opioid vs peers ⚠️ Elevated antipsychotic prescribing to 65+ +1 more
Nurse Practitioner · Colorado Springs, CO
5,051 claims$499K drug cost58.2% opioid$1,696 /patient
🔴 Extreme opioid rate vs specialty peers 🟠 95th percentile opioid rate 💊 High long-acting opioid vs peers ⚠️ Elevated antipsychotic prescribing to 65+ +1 more
Nurse Practitioner · Ann Arbor, MI
6,104 claims$490K drug cost73.1% opioid$775 /patient
🔴 Extreme opioid rate vs specialty peers 🔴 99th percentile opioid rate 💊 High long-acting opioid vs peers ☠️ Opioid + benzo co-prescriber
Nurse Practitioner · Augusta, ME
5,225 claims$787K drug cost68.1% opioid$2,694 /patient
🔴 Extreme opioid rate vs specialty peers 🔴 99th percentile opioid rate 💊 High long-acting opioid vs peers ☠️ Opioid + benzo co-prescriber
General Practice · Greenville, NC
5,355 claims$986K drug cost69.4% opioid$1,077 /patient
🔴 Extreme opioid rate vs specialty peers 🔴 99th percentile opioid rate 💊 High long-acting opioid vs peers ☠️ Opioid + benzo co-prescriber
Nurse Practitioner · Hagerstown, MD
6,867 claims$595K drug cost70.1% opioid$1,365 /patient
🔴 Extreme opioid rate vs specialty peers 🔴 99th percentile opioid rate 💊 High long-acting opioid vs peers ☠️ Opioid + benzo co-prescriber
Nurse Practitioner · Cottonwood, AZ
5,441 claims$304K drug cost61.7% opioid$779 /patient
🔴 Extreme opioid rate vs specialty peers 🟠 95th percentile opioid rate 💊 High long-acting opioid vs peers ⚠️ Elevated antipsychotic prescribing to 65+ +1 more
Internal Medicine · Tarpon Springs, FL
3,342 claims$188K drug cost37.0% opioid$1,360 /patient
🔴 Extreme opioid rate vs specialty peers 🟡 90th percentile opioid rate 💊 High long-acting opioid vs peers 🚫 OIG Excluded +1 more
Nurse Practitioner · New Haven, CT
1,469 claims$514K drug cost75.3% opioid$13K /patient
🔴 Extreme opioid rate vs specialty peers 🔴 99th percentile opioid rate 💰 High cost outlier 🏷️ High brand preference +2 more
Nurse Practitioner · Cape May Court House, NJ
3,565 claims$152K drug cost71.0% opioid$209 /patient
🔴 Extreme opioid rate vs specialty peers 🔴 99th percentile opioid rate 🚫 OIG Excluded
Pathology · Mount Airy, NC
349 claims$38K drug cost55.9% opioid$754 /patient
🔴 Extreme opioid rate vs specialty peers 🟠 95th percentile opioid rate 💊 High long-acting opioid vs peers 🚫 OIG Excluded
Nurse Practitioner · Las Vegas, NV
8,652 claims$1.4M drug cost55.4% opioid$3,968 /patient
🔴 Extreme opioid rate vs specialty peers 🟠 95th percentile opioid rate 💊 High long-acting opioid vs peers ☠️ Opioid + benzo co-prescriber +1 more
Internal Medicine · Cincinnati, OH
17,883 claims$1.2M drug cost29.1% opioid$1,839 /patient
🔴 Extreme opioid rate vs specialty peers 💊 High long-acting opioid vs peers ⚠️ High antipsychotic prescribing to 65+ ☠️ Opioid + benzo co-prescriber +1 more
Nurse Practitioner · Scottsdale, AZ
5,738 claims$517K drug cost61.4% opioid$1,881 /patient
🔴 Extreme opioid rate vs specialty peers 🟠 95th percentile opioid rate 💊 High long-acting opioid vs peers ☠️ Opioid + benzo co-prescriber +1 more
Nurse Practitioner · Edmonds, WA
6,403 claims$570K drug cost65.5% opioid$2,580 /patient
🔴 Extreme opioid rate vs specialty peers 🟠 95th percentile opioid rate 💊 High long-acting opioid vs peers ☠️ Opioid + benzo co-prescriber +1 more
Physician Assistant · New Haven, CT
5,256 claims$545K drug cost63.4% opioid$937 /patient
🟠 Very high opioid rate vs peers 🟠 95th percentile opioid rate 💊 High long-acting opioid vs peers ⚠️ High antipsychotic prescribing to 65+ +1 more
Internal Medicine · Oakland, CA
10,053 claims$868K drug cost12.9% opioid$3,098 /patient
🟡 High opioid rate vs peers ⚠️ High antipsychotic prescribing to 65+ ☠️ Opioid + benzo co-prescriber 🚫 OIG Excluded +1 more
Nurse Practitioner · Seattle, WA
802 claims$76K drug cost52.4% opioid$3,432 /patient
🟠 Very high opioid rate vs peers 🟠 95th percentile opioid rate 💊 High long-acting opioid vs peers 🚫 OIG Excluded +1 more
Nurse Practitioner · Spokane, WA
7,729 claims$533K drug cost55.6% opioid$1,229 /patient
🔴 Extreme opioid rate vs specialty peers 🟠 95th percentile opioid rate 💊 High long-acting opioid vs peers ⚠️ High antipsychotic prescribing to 65+
Psychiatry & Neurology · Richmond, VA
5,943 claims$1.4M drug cost12.7% opioid$6,263 /patient
🔴 Extreme opioid rate vs specialty peers 💰 High cost outlier 💊 High long-acting opioid vs peers ⚠️ High antipsychotic prescribing to 65+ +1 more
Nurse Practitioner · Laurel, MS
7,261 claims$362K drug cost72.4% opioid$577 /patient
🔴 Extreme opioid rate vs specialty peers 🔴 99th percentile opioid rate 💊 Elevated long-acting opioid rate ☠️ Opioid + benzo co-prescriber
Nurse Practitioner · Williamsville, NY
8,331 claims$527K drug cost69.8% opioid$732 /patient
🔴 Extreme opioid rate vs specialty peers 🔴 99th percentile opioid rate 💊 Elevated long-acting opioid rate ☠️ Opioid + benzo co-prescriber
Psychiatry · Springfield, MO
8,486 claims$2.2M drug cost11.1% opioid$6,826 /patient
🔴 Extreme opioid rate vs specialty peers 💰 High cost outlier 💊 High long-acting opioid vs peers ⚠️ High antipsychotic prescribing to 65+ +1 more
Nurse Practitioner · Scottsdale, AZ
5,072 claims$450K drug cost65.8% opioid$1,091 /patient
🔴 Extreme opioid rate vs specialty peers 🟠 95th percentile opioid rate 💊 High long-acting opioid vs peers ☠️ Opioid + benzo co-prescriber
Nurse Practitioner · Johnson City, TN
5,439 claims$446K drug cost65.0% opioid$965 /patient
🔴 Extreme opioid rate vs specialty peers 🟠 95th percentile opioid rate 💊 High long-acting opioid vs peers ☠️ Opioid + benzo co-prescriber
Emergency Medicine · Rainbow City, AL
9,986 claims$540K drug cost56.1% opioid$792 /patient
🔴 Extreme opioid rate vs specialty peers 🟠 95th percentile opioid rate 💊 High long-acting opioid vs peers ☠️ Opioid + benzo co-prescriber
Nurse Practitioner · Knoxville, TN
6,504 claims$619K drug cost55.8% opioid$1,084 /patient
🔴 Extreme opioid rate vs specialty peers 🟠 95th percentile opioid rate 💊 High long-acting opioid vs peers ☠️ Opioid + benzo co-prescriber
Nurse Practitioner · Green Valley, AZ
5,228 claims$298K drug cost57.1% opioid$384 /patient
🔴 Extreme opioid rate vs specialty peers 🟠 95th percentile opioid rate 💊 High long-acting opioid vs peers ☠️ Opioid + benzo co-prescriber
Nurse Practitioner · Farmington, CT
8,290 claims$1.2M drug cost66.7% opioid$1,968 /patient
🔴 Extreme opioid rate vs specialty peers 🟠 95th percentile opioid rate 💊 High long-acting opioid vs peers ☠️ Opioid + benzo co-prescriber
Nurse Practitioner · Arden, NC
5,696 claims$949K drug cost59.8% opioid$2,206 /patient
🔴 Extreme opioid rate vs specialty peers 🟠 95th percentile opioid rate 💊 High long-acting opioid vs peers ☠️ Opioid + benzo co-prescriber
Nurse Practitioner · Erie, PA
5,319 claims$457K drug cost67.1% opioid$1,034 /patient
🔴 Extreme opioid rate vs specialty peers 🟠 95th percentile opioid rate 💊 High long-acting opioid vs peers ☠️ Opioid + benzo co-prescriber
Nurse Practitioner · Williamstown, NJ
6,935 claims$657K drug cost64.2% opioid$1,179 /patient
🔴 Extreme opioid rate vs specialty peers 🟠 95th percentile opioid rate 💊 High long-acting opioid vs peers ☠️ Opioid + benzo co-prescriber
Nurse Practitioner · Mount Laurel, NJ
7,357 claims$797K drug cost57.2% opioid$1,129 /patient
🔴 Extreme opioid rate vs specialty peers 🟠 95th percentile opioid rate 💊 High long-acting opioid vs peers ☠️ Opioid + benzo co-prescriber
Nurse Practitioner · Dakota Dunes, SD
5,615 claims$434K drug cost63.0% opioid$1,406 /patient
🔴 Extreme opioid rate vs specialty peers 🟠 95th percentile opioid rate 💊 High long-acting opioid vs peers ☠️ Opioid + benzo co-prescriber
Nurse Practitioner · Jackson, MS
9,497 claims$505K drug cost62.5% opioid$590 /patient
🔴 Extreme opioid rate vs specialty peers 🟠 95th percentile opioid rate 💊 High long-acting opioid vs peers ☠️ Opioid + benzo co-prescriber
Nurse Practitioner · Abington, PA
7,971 claims$814K drug cost65.3% opioid$949 /patient
🔴 Extreme opioid rate vs specialty peers 🟠 95th percentile opioid rate 💊 High long-acting opioid vs peers ☠️ Opioid + benzo co-prescriber
Cardiology · Smithfield, NC
28,766 claims$3.9M drug cost8.6% opioid$5,557 /patient
🔴 Extreme opioid rate vs specialty peers 💰 Elevated cost ⚠️ High antipsychotic prescribing to 65+ ☠️ Opioid + benzo co-prescriber +1 more
Nurse Practitioner · Winston Salem, NC
6,836 claims$913K drug cost62.2% opioid$875 /patient
🔴 Extreme opioid rate vs specialty peers 🟠 95th percentile opioid rate 💊 High long-acting opioid vs peers ☠️ Opioid + benzo co-prescriber
Neurology · Boca Raton, FL
6,432 claims$966K drug cost32.9% opioid$5,166 /patient
🔴 Extreme opioid rate vs specialty peers 🟡 90th percentile opioid rate 💰 Elevated cost 💊 High long-acting opioid vs peers +2 more
Nurse Practitioner · Knoxville, TN
6,250 claims$614K drug cost70.1% opioid$2,547 /patient
🔴 Extreme opioid rate vs specialty peers 🔴 99th percentile opioid rate 💊 High long-acting opioid vs peers 🔄 High fills per patient
Psychiatry · Durham, NC
8,596 claims$901K drug cost41.0% opioid$2,340 /patient
🔴 Extreme opioid rate vs specialty peers 🟡 90th percentile opioid rate 💊 High long-acting opioid vs peers ⚠️ High antipsychotic prescribing to 65+ +1 more
Emergency Medicine · Decatur, AL
11,636 claims$622K drug cost68.4% opioid$1,063 /patient
🔴 Extreme opioid rate vs specialty peers 🔴 99th percentile opioid rate 💊 High long-acting opioid vs peers 🔄 High fills per patient
Hematology-Oncology · Shreveport, LA
1,049 claims$1.4M drug cost80.8% opioid$12K /patient
🔴 Extreme opioid rate vs specialty peers 🔴 99th percentile opioid rate 💰 Elevated cost 💊 Elevated long-acting opioid rate +2 more
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