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
842
Total Claims
$113K
Drug Cost
103
Beneficiaries
$1,102
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+858%
Opioid rate vs peers
36.2% vs 3.8% avg
-6%
Cost per patient vs peers
$1,102 vs $1,174 avg
+41%
Brand preference vs peers
12.5% 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 858% 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
36.2%
Opioid Rate
305
Opioid Claims
$62K
Opioid Cost
39.3%
Long-Acting Rate
This provider's opioid prescribing rate of 36.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 104 claims · $79K
Generic: 727 claims · $33K
Patient Profile
68
Avg Age
49%
Female
3.91
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