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
7,789
Total Claims
$673K
Drug Cost
565
Beneficiaries
$1,192
Cost/Patient
Risk Score Breakdown 45/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1578%
Opioid rate vs peers
63.4% vs 3.8% avg
+1%
Cost per patient vs peers
$1,192 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 1,578% 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
4,942
Opioid Claims
$482K
Opioid Cost
16.4%
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: 657 claims · $380K
Generic: 7,132 claims · $293K
Patient Profile
69
Avg Age
66%
Female
1.55
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