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
7,325
Total Claims
$635K
Drug Cost
793
Beneficiaries
$800
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1178%
Opioid rate vs peers
48.4% vs 3.8% avg
-32%
Cost per patient vs peers
$800 vs $1,174 avg
-23%
Brand preference vs peers
6.8% 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 1,178% 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
48.4%
Opioid Rate
3,542
Opioid Claims
$381K
Opioid Cost
19.7%
Long-Acting Rate
This provider's opioid prescribing rate of 48.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 501 claims · $379K
Generic: 6,824 claims · $256K
Patient Profile
68
Avg Age
72%
Female
1.78
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