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
396
Total Claims
$25K
Drug Cost
101
Beneficiaries
$252
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1576%
Opioid rate vs peers
63.4% vs 3.8% avg
-79%
Cost per patient vs peers
$252 vs $1,174 avg
+68%
Brand preference vs peers
14.9% 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 1,576% 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
63.4%
Opioid Rate
251
Opioid Claims
$19K
Opioid Cost
38.2%
Long-Acting Rate
This provider's opioid prescribing rate of 63.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 59 claims · $17K
Generic: 337 claims · $8,630
Patient Profile
73
Avg Age
66%
Female
2.68
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