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
2,826
Total Claims
$301K
Drug Cost
652
Beneficiaries
$461
Cost/Patient
Risk Score Breakdown 45/100
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
-61%
Cost per patient vs peers
$461 vs $1,174 avg
+64%
Brand preference vs peers
14.5% 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
1,607
Opioid Claims
$197K
Opioid Cost
25.9%
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: 410 claims · $214K
Generic: 2,416 claims · $86K
Patient Profile
67
Avg Age
62%
Female
1.57
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