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
583
Total Claims
$37K
Drug Cost
23
Beneficiaries
$1,604
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+594%
Opioid rate vs peers
26.2% vs 3.8% avg
+37%
Cost per patient vs peers
$1,604 vs $1,174 avg
-23%
Brand preference vs peers
6.9% vs 8.9% avg
🔎 Data Overview
Opioid prescribing rate is 594% 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
26.2%
Opioid Rate
153
Opioid Claims
$11K
Opioid Cost
26.1%
Long-Acting Rate
This provider's opioid prescribing rate of 26.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 40 claims · $15K
Generic: 543 claims · $21K
Patient Profile
74
Avg Age
—
Female
2.07
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