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
167
Total Claims
$18K
Drug Cost
40
Beneficiaries
$458
Cost/Patient
Risk Score Breakdown 39/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1404%
Opioid rate vs peers
56.9% vs 3.8% avg
-61%
Cost per patient vs peers
$458 vs $1,174 avg
+82%
Brand preference vs peers
16.2% 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 1,404% 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
95
Opioid Claims
$11K
Opioid Cost
29.5%
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: 27 claims · $15K
Generic: 140 claims · $3,348
Patient Profile
67
Avg Age
63%
Female
2.47
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