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
1,957
Total Claims
$102K
Drug Cost
138
Beneficiaries
$739
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1269%
Opioid rate vs peers
51.8% vs 3.8% avg
-37%
Cost per patient vs peers
$739 vs $1,174 avg
-39%
Brand preference vs peers
5.4% 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 1,269% 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
51.8%
Opioid Rate
1,013
Opioid Claims
$58K
Opioid Cost
26.3%
Long-Acting Rate
This provider's opioid prescribing rate of 51.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 106 claims · $30K
Generic: 1,851 claims · $72K
Patient Profile
69
Avg Age
56%
Female
1.38
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