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
10,905
Total Claims
$1.8M
Drug Cost
536
Beneficiaries
$3,404
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+732%
Opioid rate vs peers
31.5% vs 3.8% avg
+190%
Cost per patient vs peers
$3,404 vs $1,174 avg
+64%
Brand preference vs peers
14.6% vs 8.9% avg
🔎 Data Overview
Opioid prescribing rate is 732% 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
31.5%
Opioid Rate
3,432
Opioid Claims
$606K
Opioid Cost
19.5%
Long-Acting Rate
This provider's opioid prescribing rate of 31.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 1,586 claims · $1.3M
Generic: 9,305 claims · $485K
Patient Profile
63
Avg Age
57%
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