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
245
Total Claims
$7,892
Drug Cost
49
Beneficiaries
$161
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+882%
Opioid rate vs peers
37.1% vs 3.8% avg
-86%
Cost per patient vs peers
$161 vs $1,174 avg
-36%
Brand preference vs peers
5.7% 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 882% 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
37.1%
Opioid Rate
91
Opioid Claims
$4,902
Opioid Cost
36.3%
Long-Acting Rate
This provider's opioid prescribing rate of 37.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 14 claims · $3,138
Generic: 231 claims · $4,754
Patient Profile
79
Avg Age
65%
Female
2.41
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