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 →43
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
783
Total Claims
$82K
Drug Cost
152
Beneficiaries
$538
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1477%
Opioid rate vs peers
59.6% vs 3.8% avg
-54%
Cost per patient vs peers
$538 vs $1,174 avg
+50%
Brand preference vs peers
13.3% 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 1,477% 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
59.6%
Opioid Rate
467
Opioid Claims
$68K
Opioid Cost
27.4%
Long-Acting Rate
This provider's opioid prescribing rate of 59.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 104 claims · $52K
Generic: 679 claims · $30K
Patient Profile
68
Avg Age
50%
Female
3.01
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