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
1,124
Total Claims
$81K
Drug Cost
121
Beneficiaries
$666
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1328%
Opioid rate vs peers
54.0% vs 3.8% avg
-43%
Cost per patient vs peers
$666 vs $1,174 avg
+38%
Brand preference vs peers
12.3% 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 1,328% 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
54.0%
Opioid Rate
607
Opioid Claims
$57K
Opioid Cost
24.1%
Long-Acting Rate
This provider's opioid prescribing rate of 54.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 138 claims · $46K
Generic: 986 claims · $35K
Patient Profile
69
Avg Age
59%
Female
1.84
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