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
975
Total Claims
$66K
Drug Cost
100
Beneficiaries
$661
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+833%
Opioid rate vs peers
35.3% vs 3.8% avg
-44%
Cost per patient vs peers
$661 vs $1,174 avg
-32%
Brand preference vs peers
6.1% 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 833% 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
35.3%
Opioid Rate
344
Opioid Claims
$46K
Opioid Cost
21.8%
Long-Acting Rate
This provider's opioid prescribing rate of 35.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 59 claims · $41K
Generic: 916 claims · $26K
Patient Profile
59
Avg Age
38%
Female
4.17
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