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
4,263
Total Claims
$465K
Drug Cost
442
Beneficiaries
$1,052
Cost/Patient
Risk Score Breakdown 34/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1213%
Opioid rate vs peers
49.7% vs 3.8% avg
-10%
Cost per patient vs peers
$1,052 vs $1,174 avg
+37%
Brand preference vs peers
12.2% 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 1,213% 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
49.7%
Opioid Rate
2,117
Opioid Claims
$195K
Opioid Cost
19.2%
Long-Acting Rate
This provider's opioid prescribing rate of 49.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 518 claims · $284K
Generic: 3,745 claims · $181K
Patient Profile
64
Avg Age
60%
Female
1.47
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