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
18,853
Total Claims
$378K
Drug Cost
1,027
Beneficiaries
$369
Cost/Patient
Risk Score Breakdown 17/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+777%
Opioid rate vs peers
33.2% vs 3.8% avg
-69%
Cost per patient vs peers
$369 vs $1,174 avg
-69%
Brand preference vs peers
2.7% vs 8.9% avg
🔎 Data Overview
Opioid prescribing rate is 777% 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
33.2%
Opioid Rate
6,255
Opioid Claims
$142K
Opioid Cost
1.1%
Long-Acting Rate
This provider's opioid prescribing rate of 33.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 512 claims · $86K
Generic: 18,341 claims · $292K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl/Acetaminophen | 2,394 | $62K |
| Hydrocodone/Acetaminophen | 2,015 | $33K |
| Gabapentin | 2,988 | $30K |
| Buprenorphine Hcl/Naloxone Hcl | 159 | $30K |
| Diclofenac Sodium | 716 | $26K |
| Cariprazine Hcl | 11 | $16K |
| Oxycodone Hcl | 1,037 | $15K |
| Lidocaine | 126 | $14K |
| Tizanidine Hcl | 1,540 | $13K |
| Linaclotide | 23 | $12K |
| Buprenorphine Hcl/Naloxone Hcl | 21 | $11K |
| Lidocaine | 23 | $11K |
| Pregabalin | 784 | $9,721 |
| Buprenorphine | 15 | $7,103 |
| Celecoxib | 550 | $6,925 |
Prescribing Profile
47
Unique Drugs
17.0
Anomaly Score
Patient Profile
63
Avg Age
65%
Female
1.84
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 of wrongdoing.Methodology · About · Dispute this data