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
1,908
Total Claims
$263K
Drug Cost
283
Beneficiaries
$929
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1128%
Opioid rate vs peers
46.4% vs 3.8% avg
-21%
Cost per patient vs peers
$929 vs $1,174 avg
+58%
Brand preference vs peers
14.0% 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 1,128% 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
46.4%
Opioid Rate
886
Opioid Claims
$144K
Opioid Cost
26.2%
Long-Acting Rate
This provider's opioid prescribing rate of 46.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 268 claims · $180K
Generic: 1,640 claims · $83K
Patient Profile
63
Avg Age
66%
Female
1.92
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