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 →31
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
1,222
Total Claims
$204K
Drug Cost
133
Beneficiaries
$1,533
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+930%
Opioid rate vs peers
39.0% vs 3.8% avg
+31%
Cost per patient vs peers
$1,533 vs $1,174 avg
+33%
Brand preference vs peers
11.8% 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 930% 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
39.0%
Opioid Rate
476
Opioid Claims
$90K
Opioid Cost
31.7%
Long-Acting Rate
This provider's opioid prescribing rate of 39.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 144 claims · $165K
Generic: 1,078 claims · $39K
Patient Profile
69
Avg Age
67%
Female
1.22
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