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
1,567
Total Claims
$161K
Drug Cost
186
Beneficiaries
$865
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1066%
Opioid rate vs peers
44.1% vs 3.8% avg
-26%
Cost per patient vs peers
$865 vs $1,174 avg
+65%
Brand preference vs peers
14.6% 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 1,066% 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
44.1%
Opioid Rate
691
Opioid Claims
$126K
Opioid Cost
43.8%
Long-Acting Rate
This provider's opioid prescribing rate of 44.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 229 claims · $80K
Generic: 1,338 claims · $81K
Patient Profile
70
Avg Age
67%
Female
3.91
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