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
327
Total Claims
$57K
Drug Cost
101
Beneficiaries
$561
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+895%
Opioid rate vs peers
37.6% vs 3.8% avg
-52%
Cost per patient vs peers
$561 vs $1,174 avg
+124%
Brand preference vs peers
19.9% 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 895% 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
37.6%
Opioid Rate
123
Opioid Claims
$15K
Opioid Cost
37.4%
Long-Acting Rate
This provider's opioid prescribing rate of 37.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 65 claims · $47K
Generic: 262 claims · $10K
Patient Profile
65
Avg Age
63%
Female
1.55
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