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
153
Total Claims
$12K
Drug Cost
76
Beneficiaries
$154
Cost/Patient
Risk Score Breakdown 39/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1403%
Opioid rate vs peers
56.9% vs 3.8% avg
-87%
Cost per patient vs peers
$154 vs $1,174 avg
-19%
Brand preference vs peers
7.2% 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 1,403% 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
56.9%
Opioid Rate
87
Opioid Claims
$9,307
Opioid Cost
29.9%
Long-Acting Rate
This provider's opioid prescribing rate of 56.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 11 claims · $7,051
Generic: 142 claims · $4,663
Patient Profile
70
Avg Age
66%
Female
1.74
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