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
1,872
Total Claims
$135K
Drug Cost
346
Beneficiaries
$391
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+921%
Opioid rate vs peers
38.6% vs 3.8% avg
-67%
Cost per patient vs peers
$391 vs $1,174 avg
-26%
Brand preference vs peers
6.6% 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 921% 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
38.6%
Opioid Rate
723
Opioid Claims
$103K
Opioid Cost
31.3%
Long-Acting Rate
This provider's opioid prescribing rate of 38.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 123 claims · $75K
Generic: 1,749 claims · $60K
Patient Profile
70
Avg Age
63%
Female
1.84
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