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
804
Total Claims
$42K
Drug Cost
125
Beneficiaries
$334
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+896%
Opioid rate vs peers
37.7% vs 3.8% avg
-72%
Cost per patient vs peers
$334 vs $1,174 avg
-19%
Brand preference vs peers
7.2% 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 896% 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
37.7%
Opioid Rate
303
Opioid Claims
$18K
Opioid Cost
46.2%
Long-Acting Rate
This provider's opioid prescribing rate of 37.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 58 claims · $20K
Generic: 746 claims · $22K
Patient Profile
77
Avg Age
58%
Female
2.97
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