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
4,467
Total Claims
$344K
Drug Cost
338
Beneficiaries
$1,017
Cost/Patient
Risk Score Breakdown 45/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1669%
Opioid rate vs peers
66.9% vs 3.8% avg
-13%
Cost per patient vs peers
$1,017 vs $1,174 avg
-16%
Brand preference vs peers
7.4% 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 1,669% 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
66.9%
Opioid Rate
2,988
Opioid Claims
$258K
Opioid Cost
24.9%
Long-Acting Rate
This provider's opioid prescribing rate of 66.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 332 claims · $132K
Generic: 4,135 claims · $212K
Patient Profile
65
Avg Age
69%
Female
1.49
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