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
2,030
Total Claims
$128K
Drug Cost
228
Beneficiaries
$563
Cost/Patient
Risk Score Breakdown 50/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1803%
Opioid rate vs peers
72.0% vs 3.8% avg
-52%
Cost per patient vs peers
$563 vs $1,174 avg
-33%
Brand preference vs peers
5.9% 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 1,803% above the average for Nurse Practitioner providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Composite risk score of 50/100 places this provider in the "High Risk" category — the top 0.017% of all Medicare Part D prescribers. Multiple independent risk factors are contributing simultaneously.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
72.0%
Opioid Rate
1,461
Opioid Claims
$98K
Opioid Cost
26.6%
Long-Acting Rate
This provider's opioid prescribing rate of 72.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 120 claims · $67K
Generic: 1,910 claims · $61K
Patient Profile
69
Avg Age
69%
Female
1.95
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