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 →39
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
397
Total Claims
$20K
Drug Cost
82
Beneficiaries
$247
Cost/Patient
Risk Score Breakdown 39/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1478%
Opioid rate vs peers
59.7% vs 3.8% avg
-79%
Cost per patient vs peers
$247 vs $1,174 avg
-29%
Brand preference vs peers
6.3% 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 1,478% 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
59.7%
Opioid Rate
237
Opioid Claims
$14K
Opioid Cost
16.0%
Long-Acting Rate
This provider's opioid prescribing rate of 59.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 25 claims · $10K
Generic: 372 claims · $10K
Patient Profile
66
Avg Age
54%
Female
1.93
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