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
2,488
Total Claims
$209K
Drug Cost
262
Beneficiaries
$797
Cost/Patient
Risk Score Breakdown 50/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1810%
Opioid rate vs peers
72.2% vs 3.8% avg
-32%
Cost per patient vs peers
$797 vs $1,174 avg
+36%
Brand preference vs peers
12.1% 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 1,810% 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
72.2%
Opioid Rate
1,797
Opioid Claims
$176K
Opioid Cost
30.4%
Long-Acting Rate
This provider's opioid prescribing rate of 72.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 301 claims · $130K
Generic: 2,187 claims · $79K
Patient Profile
71
Avg Age
63%
Female
1.39
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