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
463
Total Claims
$45K
Drug Cost
140
Beneficiaries
$324
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+934%
Opioid rate vs peers
39.1% vs 3.8% avg
-72%
Cost per patient vs peers
$324 vs $1,174 avg
+14%
Brand preference vs peers
10.2% 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 934% 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
39.1%
Opioid Rate
181
Opioid Claims
$33K
Opioid Cost
61.9%
Long-Acting Rate
This provider's opioid prescribing rate of 39.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 47 claims · $31K
Generic: 416 claims · $15K
Patient Profile
70
Avg Age
72%
Female
1.61
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