⚠️

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 →

James FosterMSN, NP

Nurse Practitioner · Spokane, WA 99223

NPI: 1609387083

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61

🔴 High Risk

Risk Flags

Extreme opioid rate vs specialty peers95th percentile opioid prescribingHigh long-acting opioid rate vs peersHigh antipsychotic prescribing (65+)

Risk indicators are statistical patterns, not allegations. Learn more

7,729

Total Claims

$533K

Drug Cost

434

Beneficiaries

$1,229

Cost/Patient

Risk Score Breakdown 61/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+25
Opioid rate (national percentile)+10
Elderly antipsychotic prescribing+10
Long-acting opioid rate+8

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

+1371%

Opioid rate vs peers

55.6% vs 3.8% avg

+5%

Cost per patient vs peers

$1,229 vs $1,174 avg

-8%

Brand preference vs peers

8.2% vs 8.9% avg

⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.

Opioid Prescribing

55.6%

Opioid Rate

4,299

Opioid Claims

$361K

Opioid Cost

32.2%

Long-Acting Rate

This provider's opioid prescribing rate of 55.6% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

92% generic

Brand: 632 claims · $216K

Generic: 7,097 claims · $317K

Patient Profile

65

Avg Age

66%

Female

1.72

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