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
1,249
Total Claims
$36K
Drug Cost
200
Beneficiaries
$179
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+965%
Opioid rate vs peers
40.3% vs 3.8% avg
-85%
Cost per patient vs peers
$179 vs $1,174 avg
-80%
Brand preference vs peers
1.8% 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 965% 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
40.3%
Opioid Rate
503
Opioid Claims
$22K
Opioid Cost
25.2%
Long-Acting Rate
This provider's opioid prescribing rate of 40.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 22 claims · $13K
Generic: 1,227 claims · $23K
Patient Profile
70
Avg Age
61%
Female
1.19
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