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
1,148
Total Claims
$82K
Drug Cost
225
Beneficiaries
$363
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+863%
Opioid rate vs peers
36.4% vs 3.8% avg
-69%
Cost per patient vs peers
$363 vs $1,174 avg
-27%
Brand preference vs peers
6.4% 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 863% 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
36.4%
Opioid Rate
418
Opioid Claims
$58K
Opioid Cost
26.6%
Long-Acting Rate
This provider's opioid prescribing rate of 36.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 74 claims · $42K
Generic: 1,074 claims · $39K
Patient Profile
65
Avg Age
56%
Female
2.07
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