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
510
Total Claims
$43K
Drug Cost
112
Beneficiaries
$382
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1279%
Opioid rate vs peers
52.2% vs 3.8% avg
-68%
Cost per patient vs peers
$382 vs $1,174 avg
+19%
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 1,279% 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
52.2%
Opioid Rate
266
Opioid Claims
$31K
Opioid Cost
36.1%
Long-Acting Rate
This provider's opioid prescribing rate of 52.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 54 claims · $25K
Generic: 456 claims · $18K
Patient Profile
69
Avg Age
68%
Female
1.28
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