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
1,216
Total Claims
$1.3M
Drug Cost
133
Beneficiaries
$9,665
Cost/Patient
Risk Score Breakdown 37/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+991%
Opioid rate vs peers
41.3% vs 3.8% avg
+723%
Cost per patient vs peers
$9,665 vs $1,174 avg
+208%
Brand preference vs peers
27.3% 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 991% above the average for Nurse Practitioner providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Cost per patient is 723% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
41.3%
Opioid Rate
502
Opioid Claims
$206K
Opioid Cost
27.3%
Long-Acting Rate
This provider's opioid prescribing rate of 41.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 332 claims · $1.2M
Generic: 884 claims · $87K
Patient Profile
44
Avg Age
65%
Female
5.05
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About