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
292
Total Claims
$19K
Drug Cost
91
Beneficiaries
$212
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+769%
Opioid rate vs peers
32.9% vs 3.8% avg
-82%
Cost per patient vs peers
$212 vs $1,174 avg
-34%
Brand preference vs peers
5.8% vs 8.9% avg
🔎 Data Overview
Opioid prescribing rate is 769% 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
32.9%
Opioid Rate
96
Opioid Claims
$14K
Opioid Cost
34.4%
Long-Acting Rate
This provider's opioid prescribing rate of 32.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 17 claims · $10K
Generic: 275 claims · $8,993
Patient Profile
68
Avg Age
58%
Female
1.90
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