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
1,654
Total Claims
$131K
Drug Cost
154
Beneficiaries
$852
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1574%
Opioid rate vs peers
63.3% vs 3.8% avg
-27%
Cost per patient vs peers
$852 vs $1,174 avg
-12%
Brand preference vs peers
7.8% 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 1,574% 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
63.3%
Opioid Rate
1,047
Opioid Claims
$81K
Opioid Cost
29.1%
Long-Acting Rate
This provider's opioid prescribing rate of 63.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 129 claims · $81K
Generic: 1,525 claims · $50K
Patient Profile
65
Avg Age
61%
Female
1.80
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