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 →40
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
400
Total Claims
$6,587
Drug Cost
94
Beneficiaries
$70
Cost/Patient
Risk Score Breakdown 40/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+2121%
Opioid rate vs peers
84.0% vs 3.8% avg
-94%
Cost per patient vs peers
$70 vs $1,174 avg
-55%
Brand preference vs peers
4.0% 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 2,121% 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
84.0%
Opioid Rate
336
Opioid Claims
$4,534
Opioid Cost
5.4%
Long-Acting Rate
This provider's opioid prescribing rate of 84.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 16 claims · $1,600
Generic: 384 claims · $4,987
Patient Profile
79
Avg Age
71%
Female
2.98
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