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
323
Total Claims
$317K
Drug Cost
72
Beneficiaries
$4,405
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+940%
Opioid rate vs peers
39.3% vs 3.8% avg
+275%
Cost per patient vs peers
$4,405 vs $1,174 avg
+50%
Brand preference vs peers
13.3% 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 940% 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
39.3%
Opioid Rate
127
Opioid Claims
$25K
Opioid Cost
23.6%
Long-Acting Rate
This provider's opioid prescribing rate of 39.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 43 claims · $299K
Generic: 280 claims · $18K
Patient Profile
74
Avg Age
68%
Female
2.36
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