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 →31
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
1,337
Total Claims
$216K
Drug Cost
227
Beneficiaries
$950
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+999%
Opioid rate vs peers
41.6% vs 3.8% avg
-19%
Cost per patient vs peers
$950 vs $1,174 avg
+76%
Brand preference vs peers
15.6% 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 999% 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
41.6%
Opioid Rate
556
Opioid Claims
$112K
Opioid Cost
53.2%
Long-Acting Rate
This provider's opioid prescribing rate of 41.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 209 claims · $158K
Generic: 1,128 claims · $58K
Patient Profile
68
Avg Age
68%
Female
1.47
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