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
1,123
Total Claims
$145K
Drug Cost
143
Beneficiaries
$1,012
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+825%
Opioid rate vs peers
35.0% vs 3.8% avg
-14%
Cost per patient vs peers
$1,012 vs $1,174 avg
+53%
Brand preference vs peers
13.5% 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 825% 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
35.0%
Opioid Rate
393
Opioid Claims
$17K
Opioid Cost
18.3%
Long-Acting Rate
This provider's opioid prescribing rate of 35.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 152 claims · $109K
Generic: 971 claims · $36K
Patient Profile
73
Avg Age
65%
Female
1.75
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