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 →34
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
3,889
Total Claims
$208K
Drug Cost
485
Beneficiaries
$430
Cost/Patient
Risk Score Breakdown 34/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1165%
Opioid rate vs peers
47.9% vs 3.8% avg
-63%
Cost per patient vs peers
$430 vs $1,174 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 1,165% 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
47.9%
Opioid Rate
1,861
Opioid Claims
$118K
Opioid Cost
17.8%
Long-Acting Rate
This provider's opioid prescribing rate of 47.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 3,703 claims · $153K
Patient Profile
69
Avg Age
64%
Female
1.66
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