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
5,526
Total Claims
$164K
Drug Cost
411
Beneficiaries
$399
Cost/Patient
Risk Score Breakdown 40/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1384%
Opioid rate vs peers
56.1% vs 3.8% avg
-66%
Cost per patient vs peers
$399 vs $1,174 avg
-86%
Brand preference vs peers
1.2% 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 1,384% 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
56.1%
Opioid Rate
3,101
Opioid Claims
$100K
Opioid Cost
3.9%
Long-Acting Rate
This provider's opioid prescribing rate of 56.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 67 claims · $31K
Generic: 5,459 claims · $134K
Patient Profile
65
Avg Age
63%
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