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 →31
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
1,449
Total Claims
$450K
Drug Cost
307
Beneficiaries
$1,467
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+820%
Opioid rate vs peers
34.8% vs 3.8% avg
+25%
Cost per patient vs peers
$1,467 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 820% 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
34.8%
Opioid Rate
504
Opioid Claims
$132K
Opioid Cost
19.8%
Long-Acting Rate
This provider's opioid prescribing rate of 34.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 1,291 claims · $60K
Patient Profile
71
Avg Age
66%
Female
2.55
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