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
3,504
Total Claims
$101K
Drug Cost
320
Beneficiaries
$315
Cost/Patient
Risk Score Breakdown 42/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+2086%
Opioid rate vs peers
82.7% vs 3.8% avg
-73%
Cost per patient vs peers
$315 vs $1,174 avg
-88%
Brand preference vs peers
1.1% 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 2,086% 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
82.7%
Opioid Rate
2,897
Opioid Claims
$92K
Opioid Cost
11.3%
Long-Acting Rate
This provider's opioid prescribing rate of 82.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 38 claims · $10K
Generic: 3,466 claims · $91K
Patient Profile
71
Avg Age
69%
Female
1.52
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