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
2,572
Total Claims
$392K
Drug Cost
204
Beneficiaries
$1,922
Cost/Patient
Risk Score Breakdown 50/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1844%
Opioid rate vs peers
73.5% vs 3.8% avg
+64%
Cost per patient vs peers
$1,922 vs $1,174 avg
+117%
Brand preference vs peers
19.2% 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 1,844% above the average for Nurse Practitioner providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Composite risk score of 50/100 places this provider in the "High Risk" category — the top 0.017% of all Medicare Part D prescribers. Multiple independent risk factors are contributing simultaneously.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
73.5%
Opioid Rate
1,891
Opioid Claims
$332K
Opioid Cost
40.0%
Long-Acting Rate
This provider's opioid prescribing rate of 73.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 495 claims · $299K
Generic: 2,077 claims · $93K
Patient Profile
64
Avg Age
63%
Female
1.35
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