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
590
Total Claims
$903K
Drug Cost
33
Beneficiaries
$27K
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+899%
Opioid rate vs peers
37.8% vs 3.8% avg
+2231%
Cost per patient vs peers
$27K vs $1,174 avg
+120%
Brand preference vs peers
19.5% 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 899% above the average for Nurse Practitioner providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Cost per patient is 2231% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
37.8%
Opioid Rate
223
Opioid Claims
$5,657
Opioid Cost
28.7%
Long-Acting Rate
This provider's opioid prescribing rate of 37.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 115 claims · $878K
Generic: 475 claims · $25K
Patient Profile
44
Avg Age
64%
Female
4.46
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About