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
6,801
Total Claims
$1.0M
Drug Cost
296
Beneficiaries
$3,453
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+663%
Opioid rate vs peers
28.9% vs 3.8% avg
+194%
Cost per patient vs peers
$3,453 vs $1,174 avg
+79%
Brand preference vs peers
15.8% vs 8.9% avg
🔎 Data Overview
Opioid prescribing rate is 663% 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
28.9%
Opioid Rate
1,962
Opioid Claims
$340K
Opioid Cost
28.5%
Long-Acting Rate
This provider's opioid prescribing rate of 28.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 1,073 claims · $797K
Generic: 5,702 claims · $223K
Patient Profile
63
Avg Age
64%
Female
1.81
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