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 →32
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
184
Total Claims
$6,362
Drug Cost
45
Beneficiaries
$141
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1150%
Opioid rate vs peers
47.3% vs 3.8% avg
-88%
Cost per patient vs peers
$141 vs $1,174 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 1,150% 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
47.3%
Opioid Rate
87
Opioid Claims
$4,609
Opioid Cost
34.5%
Long-Acting Rate
This provider's opioid prescribing rate of 47.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 142 claims · $3,848
Patient Profile
67
Avg Age
62%
Female
2.58
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