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 →34
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
2,010
Total Claims
$132K
Drug Cost
385
Beneficiaries
$343
Cost/Patient
Risk Score Breakdown 34/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1305%
Opioid rate vs peers
53.1% vs 3.8% avg
-71%
Cost per patient vs peers
$343 vs $1,174 avg
+20%
Brand preference vs peers
10.6% 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 1,305% 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
53.1%
Opioid Rate
1,068
Opioid Claims
$103K
Opioid Cost
18.3%
Long-Acting Rate
This provider's opioid prescribing rate of 53.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 213 claims · $80K
Generic: 1,797 claims · $52K
Patient Profile
74
Avg Age
68%
Female
1.62
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