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
3,198
Total Claims
$180K
Drug Cost
698
Beneficiaries
$258
Cost/Patient
Risk Score Breakdown 37/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1420%
Opioid rate vs peers
57.5% vs 3.8% avg
-78%
Cost per patient vs peers
$258 vs $1,174 avg
-62%
Brand preference vs peers
3.4% 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 1,420% 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
57.5%
Opioid Rate
1,838
Opioid Claims
$147K
Opioid Cost
10.2%
Long-Acting Rate
This provider's opioid prescribing rate of 57.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 109 claims · $80K
Generic: 3,089 claims · $100K
Patient Profile
65
Avg Age
62%
Female
1.56
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