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
174
Total Claims
$11K
Drug Cost
70
Beneficiaries
$160
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1450%
Opioid rate vs peers
58.6% vs 3.8% avg
-86%
Cost per patient vs peers
$160 vs $1,174 avg
-3%
Brand preference vs peers
8.6% 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 1,450% 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
58.6%
Opioid Rate
102
Opioid Claims
$9,891
Opioid Cost
14.7%
Long-Acting Rate
This provider's opioid prescribing rate of 58.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 15 claims · $6,528
Generic: 159 claims · $4,692
Patient Profile
68
Avg Age
54%
Female
1.23
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