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 →43
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
465
Total Claims
$88K
Drug Cost
50
Beneficiaries
$1,761
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1373%
Opioid rate vs peers
55.7% vs 3.8% avg
+50%
Cost per patient vs peers
$1,761 vs $1,174 avg
+63%
Brand preference vs peers
14.4% 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 1,373% 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
55.7%
Opioid Rate
259
Opioid Claims
$82K
Opioid Cost
37.1%
Long-Acting Rate
This provider's opioid prescribing rate of 55.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 67 claims · $74K
Generic: 398 claims · $14K
Patient Profile
68
Avg Age
60%
Female
2.95
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