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
672
Total Claims
$55K
Drug Cost
141
Beneficiaries
$390
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+813%
Opioid rate vs peers
34.5% vs 3.8% avg
-67%
Cost per patient vs peers
$390 vs $1,174 avg
+46%
Brand preference vs peers
12.9% vs 8.9% avg
🔎 Data Overview
Opioid prescribing rate is 813% 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
34.5%
Opioid Rate
232
Opioid Claims
$30K
Opioid Cost
27.6%
Long-Acting Rate
This provider's opioid prescribing rate of 34.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 87 claims · $30K
Generic: 585 claims · $25K
Patient Profile
69
Avg Age
65%
Female
2.30
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