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 →41
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
6,503
Total Claims
$727K
Drug Cost
536
Beneficiaries
$1,356
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1332%
Opioid rate vs peers
54.2% vs 3.8% avg
+15%
Cost per patient vs peers
$1,356 vs $1,174 avg
+27%
Brand preference vs peers
11.3% 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 1,332% 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
54.2%
Opioid Rate
3,523
Opioid Claims
$482K
Opioid Cost
20.2%
Long-Acting Rate
This provider's opioid prescribing rate of 54.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 735 claims · $409K
Generic: 5,768 claims · $318K
Patient Profile
66
Avg Age
61%
Female
1.79
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