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 →44
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
664
Total Claims
$647K
Drug Cost
25
Beneficiaries
$26K
Cost/Patient
Risk Score Breakdown 44/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+868%
Opioid rate vs peers
36.6% vs 3.8% avg
+2104%
Cost per patient vs peers
$26K vs $1,174 avg
+94%
Brand preference vs peers
17.2% 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 868% above the average for Nurse Practitioner providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Cost per patient is 2104% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
36.6%
Opioid Rate
243
Opioid Claims
$187K
Opioid Cost
35.8%
Long-Acting Rate
This provider's opioid prescribing rate of 36.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 114 claims · $400K
Generic: 550 claims · $247K
Patient Profile
41
Avg Age
—
Female
5.06
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