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
203
Total Claims
$8,781
Drug Cost
59
Beneficiaries
$149
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+955%
Opioid rate vs peers
39.9% vs 3.8% avg
-87%
Cost per patient vs peers
$149 vs $1,174 avg
-33%
Brand preference vs peers
5.9% 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 955% 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
39.9%
Opioid Rate
81
Opioid Claims
$6,855
Opioid Cost
43.2%
Long-Acting Rate
This provider's opioid prescribing rate of 39.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 12 claims · $2,313
Generic: 191 claims · $6,468
Patient Profile
67
Avg Age
68%
Female
3.07
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