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
288
Total Claims
$429K
Drug Cost
31
Beneficiaries
$14K
Cost/Patient
Risk Score Breakdown 37/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+928%
Opioid rate vs peers
38.9% vs 3.8% avg
+1077%
Cost per patient vs peers
$14K vs $1,174 avg
+186%
Brand preference vs peers
25.3% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid prescribing rate is 928% above the average for Nurse Practitioner providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Cost per patient is 1077% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
38.9%
Opioid Rate
112
Opioid Claims
$30K
Opioid Cost
20.5%
Long-Acting Rate
This provider's opioid prescribing rate of 38.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 73 claims · $402K
Generic: 215 claims · $26K
Patient Profile
43
Avg Age
52%
Female
4.74
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