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
243
Total Claims
$10K
Drug Cost
103
Beneficiaries
$99
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1064%
Opioid rate vs peers
44.0% vs 3.8% avg
-92%
Cost per patient vs peers
$99 vs $1,174 avg
-26%
Brand preference vs peers
6.6% 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 1,064% 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
44.0%
Opioid Rate
107
Opioid Claims
$3,717
Opioid Cost
20.6%
Long-Acting Rate
This provider's opioid prescribing rate of 44.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 16 claims · $5,090
Generic: 227 claims · $5,105
Patient Profile
71
Avg Age
69%
Female
1.84
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