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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 →

Parema EnriquezFNP-C

Nurse Practitioner · Houston, TX 77030

NPI: 1740726504

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39

🟠 Elevated

Risk Flags

Extreme opioid rate vs specialty peers95th percentile opioid prescribingHigh long-acting opioid rate vs peers

Risk indicators are statistical patterns, not allegations. Learn more

120

Total Claims

$5,849

Drug Cost

62

Beneficiaries

$94

Cost/Patient

Risk Score Breakdown 39/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+25
Long-acting opioid rate+8
Opioid rate (national percentile)+6

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

+1574%

Opioid rate vs peers

63.3% vs 3.8% avg

-92%

Cost per patient vs peers

$94 vs $1,174 avg

+191%

Brand preference vs peers

25.8% 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 1,574% 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

63.3%

Opioid Rate

76

Opioid Claims

$3,721

Opioid Cost

25.0%

Long-Acting Rate

This provider's opioid prescribing rate of 63.3% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

74% generic

Brand: 31 claims · $1,338

Generic: 89 claims · $4,512

Patient Profile

70

Avg Age

55%

Female

2.86

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