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
3,115
Total Claims
$248K
Drug Cost
462
Beneficiaries
$536
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+840%
Opioid rate vs peers
35.6% vs 3.8% avg
-54%
Cost per patient vs peers
$536 vs $1,174 avg
-10%
Brand preference vs peers
8.0% 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 840% 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
35.6%
Opioid Rate
1,108
Opioid Claims
$164K
Opioid Cost
32.2%
Long-Acting Rate
This provider's opioid prescribing rate of 35.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 248 claims · $147K
Generic: 2,867 claims · $101K
Patient Profile
69
Avg Age
69%
Female
1.68
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