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 →43
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
832
Total Claims
$68K
Drug Cost
66
Beneficiaries
$1,032
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1657%
Opioid rate vs peers
66.5% vs 3.8% avg
-12%
Cost per patient vs peers
$1,032 vs $1,174 avg
+61%
Brand preference vs peers
14.3% 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 1,657% 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
66.5%
Opioid Rate
553
Opioid Claims
$58K
Opioid Cost
24.4%
Long-Acting Rate
This provider's opioid prescribing rate of 66.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 119 claims · $35K
Generic: 713 claims · $33K
Patient Profile
72
Avg Age
61%
Female
1.72
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