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
3,565
Total Claims
$311K
Drug Cost
370
Beneficiaries
$841
Cost/Patient
Risk Score Breakdown 34/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1322%
Opioid rate vs peers
53.8% vs 3.8% avg
-28%
Cost per patient vs peers
$841 vs $1,174 avg
-5%
Brand preference vs peers
8.4% 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 1,322% 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
53.8%
Opioid Rate
1,918
Opioid Claims
$179K
Opioid Cost
14.5%
Long-Acting Rate
This provider's opioid prescribing rate of 53.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 300 claims · $205K
Generic: 3,253 claims · $104K
Patient Profile
68
Avg Age
57%
Female
1.31
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