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
3,814
Total Claims
$753K
Drug Cost
302
Beneficiaries
$2,494
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+820%
Opioid rate vs peers
34.8% vs 3.8% avg
+112%
Cost per patient vs peers
$2,494 vs $1,174 avg
+105%
Brand preference vs peers
18.1% 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 820% 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
34.8%
Opioid Rate
1,327
Opioid Claims
$270K
Opioid Cost
33.0%
Long-Acting Rate
This provider's opioid prescribing rate of 34.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 692 claims · $533K
Generic: 3,122 claims · $220K
Patient Profile
64
Avg Age
55%
Female
1.34
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