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
3,169
Total Claims
$389K
Drug Cost
197
Beneficiaries
$1,973
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1092%
Opioid rate vs peers
45.1% vs 3.8% avg
+68%
Cost per patient vs peers
$1,973 vs $1,174 avg
+16%
Brand preference vs peers
10.3% 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 1,092% 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
45.1%
Opioid Rate
1,429
Opioid Claims
$202K
Opioid Cost
41.3%
Long-Acting Rate
This provider's opioid prescribing rate of 45.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 326 claims · $243K
Generic: 2,843 claims · $146K
Patient Profile
66
Avg Age
56%
Female
1.29
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