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
4,426
Total Claims
$337K
Drug Cost
494
Beneficiaries
$682
Cost/Patient
Risk Score Breakdown 34/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1146%
Opioid rate vs peers
47.1% vs 3.8% avg
-42%
Cost per patient vs peers
$682 vs $1,174 avg
-25%
Brand preference vs peers
6.7% 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 1,146% 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
47.1%
Opioid Rate
2,086
Opioid Claims
$238K
Opioid Cost
19.2%
Long-Acting Rate
This provider's opioid prescribing rate of 47.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 295 claims · $142K
Generic: 4,131 claims · $194K
Patient Profile
67
Avg Age
70%
Female
1.50
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