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 →38
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
4,890
Total Claims
$226K
Drug Cost
613
Beneficiaries
$369
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1207%
Opioid rate vs peers
49.4% vs 3.8% avg
-69%
Cost per patient vs peers
$369 vs $1,174 avg
-73%
Brand preference vs peers
2.4% 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 1,207% 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
49.4%
Opioid Rate
2,417
Opioid Claims
$136K
Opioid Cost
42.2%
Long-Acting Rate
This provider's opioid prescribing rate of 49.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 116 claims · $80K
Generic: 4,774 claims · $146K
Patient Profile
68
Avg Age
68%
Female
1.53
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