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
2,852
Total Claims
$156K
Drug Cost
291
Beneficiaries
$535
Cost/Patient
Risk Score Breakdown 34/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1337%
Opioid rate vs peers
54.3% vs 3.8% avg
-54%
Cost per patient vs peers
$535 vs $1,174 avg
-46%
Brand preference vs peers
4.8% 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 1,337% 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
54.3%
Opioid Rate
1,550
Opioid Claims
$80K
Opioid Cost
17.2%
Long-Acting Rate
This provider's opioid prescribing rate of 54.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 136 claims · $51K
Generic: 2,716 claims · $105K
Patient Profile
65
Avg Age
65%
Female
1.75
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