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 →44
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
1,320
Total Claims
$28K
Drug Cost
138
Beneficiaries
$206
Cost/Patient
Risk Score Breakdown 44/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1963%
Opioid rate vs peers
78.0% vs 3.8% avg
-82%
Cost per patient vs peers
$206 vs $1,174 avg
-68%
Brand preference vs peers
2.8% 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 1,963% 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
78.0%
Opioid Rate
1,030
Opioid Claims
$13K
Opioid Cost
16.6%
Long-Acting Rate
This provider's opioid prescribing rate of 78.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 37 claims · $9,990
Generic: 1,283 claims · $18K
Patient Profile
77
Avg Age
67%
Female
3.93
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