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
1,159
Total Claims
$1.4M
Drug Cost
122
Beneficiaries
$11K
Cost/Patient
Risk Score Breakdown 49/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1511%
Opioid rate vs peers
60.9% vs 3.8% avg
+870%
Cost per patient vs peers
$11K vs $1,174 avg
+214%
Brand preference vs peers
27.9% 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 1,511% 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 870% 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
60.9%
Opioid Rate
706
Opioid Claims
$292K
Opioid Cost
27.5%
Long-Acting Rate
This provider's opioid prescribing rate of 60.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 323 claims · $1.3M
Generic: 836 claims · $77K
Patient Profile
43
Avg Age
62%
Female
4.86
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