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
415
Total Claims
$9,219
Drug Cost
104
Beneficiaries
$89
Cost/Patient
Risk Score Breakdown 44/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+2060%
Opioid rate vs peers
81.7% vs 3.8% avg
-92%
Cost per patient vs peers
$89 vs $1,174 avg
-46%
Brand preference vs peers
4.8% 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 2,060% 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
81.7%
Opioid Rate
339
Opioid Claims
$5,510
Opioid Cost
15.9%
Long-Acting Rate
This provider's opioid prescribing rate of 81.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 20 claims · $2,194
Generic: 395 claims · $7,025
Patient Profile
74
Avg Age
65%
Female
3.50
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