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
3,176
Total Claims
$223K
Drug Cost
296
Beneficiaries
$753
Cost/Patient
Risk Score Breakdown 50/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+2022%
Opioid rate vs peers
80.3% vs 3.8% avg
-36%
Cost per patient vs peers
$753 vs $1,174 avg
-15%
Brand preference vs peers
7.5% 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 2,022% above the average for Nurse Practitioner providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Composite risk score of 50/100 places this provider in the "High Risk" category — the top 0.017% of all Medicare Part D prescribers. Multiple independent risk factors are contributing simultaneously.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
80.3%
Opioid Rate
2,549
Opioid Claims
$178K
Opioid Cost
34.8%
Long-Acting Rate
This provider's opioid prescribing rate of 80.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 238 claims · $108K
Generic: 2,938 claims · $115K
Patient Profile
66
Avg Age
71%
Female
1.87
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