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
134
Total Claims
$9,249
Drug Cost
88
Beneficiaries
$105
Cost/Patient
Risk Score Breakdown 42/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1814%
Opioid rate vs peers
72.4% vs 3.8% avg
-91%
Cost per patient vs peers
$105 vs $1,174 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 1,814% 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
72.4%
Opioid Rate
97
Opioid Claims
$7,129
Opioid Cost
27.8%
Long-Acting Rate
This provider's opioid prescribing rate of 72.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 125 claims · $5,499
Patient Profile
65
Avg Age
64%
Female
1.46
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