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
1,818
Total Claims
$281K
Drug Cost
242
Beneficiaries
$1,160
Cost/Patient
Risk Score Breakdown 48/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1711%
Opioid rate vs peers
68.5% vs 3.8% avg
-1%
Cost per patient vs peers
$1,160 vs $1,174 avg
+80%
Brand preference vs peers
16.0% 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 1,711% 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
68.5%
Opioid Rate
1,245
Opioid Claims
$251K
Opioid Cost
39.1%
Long-Acting Rate
This provider's opioid prescribing rate of 68.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 290 claims · $213K
Generic: 1,528 claims · $67K
Patient Profile
69
Avg Age
65%
Female
1.36
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