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
487
Total Claims
$75K
Drug Cost
138
Beneficiaries
$545
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+915%
Opioid rate vs peers
38.4% vs 3.8% avg
-54%
Cost per patient vs peers
$545 vs $1,174 avg
+127%
Brand preference vs peers
20.1% 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 915% 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
38.4%
Opioid Rate
187
Opioid Claims
$20K
Opioid Cost
25.1%
Long-Acting Rate
This provider's opioid prescribing rate of 38.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 98 claims · $65K
Generic: 389 claims · $9,893
Patient Profile
70
Avg Age
57%
Female
2.61
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