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
930
Total Claims
$35K
Drug Cost
173
Beneficiaries
$202
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+807%
Opioid rate vs peers
34.3% vs 3.8% avg
-83%
Cost per patient vs peers
$202 vs $1,174 avg
🔎 Data Overview
Opioid prescribing rate is 807% 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
34.3%
Opioid Rate
319
Opioid Claims
$19K
Opioid Cost
43.6%
Long-Acting Rate
This provider's opioid prescribing rate of 34.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 849 claims · $22K
Patient Profile
80
Avg Age
64%
Female
2.70
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