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 →36
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
978
Total Claims
$112K
Drug Cost
322
Beneficiaries
$349
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1308%
Opioid rate vs peers
53.3% vs 3.8% avg
-70%
Cost per patient vs peers
$349 vs $1,174 avg
-24%
Brand preference vs peers
6.7% 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 1,308% 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
53.3%
Opioid Rate
521
Opioid Claims
$36K
Opioid Cost
21.3%
Long-Acting Rate
This provider's opioid prescribing rate of 53.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 66 claims · $27K
Generic: 912 claims · $86K
Patient Profile
70
Avg Age
62%
Female
1.39
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