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
5,182
Total Claims
$485K
Drug Cost
561
Beneficiaries
$864
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+975%
Opioid rate vs peers
40.7% vs 3.8% avg
-26%
Cost per patient vs peers
$864 vs $1,174 avg
-9%
Brand preference vs peers
8.0% 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 975% 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
40.7%
Opioid Rate
2,107
Opioid Claims
$192K
Opioid Cost
27.1%
Long-Acting Rate
This provider's opioid prescribing rate of 40.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 417 claims · $274K
Generic: 4,765 claims · $211K
Patient Profile
69
Avg Age
64%
Female
2.00
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About