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
6,565
Total Claims
$583K
Drug Cost
527
Beneficiaries
$1,106
Cost/Patient
Risk Score Breakdown 49/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1618%
Opioid rate vs peers
65.0% vs 3.8% avg
-6%
Cost per patient vs peers
$1,106 vs $1,174 avg
-28%
Brand preference vs peers
6.4% 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 1,618% 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
65.0%
Opioid Rate
4,266
Opioid Claims
$459K
Opioid Cost
31.8%
Long-Acting Rate
This provider's opioid prescribing rate of 65.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 420 claims · $309K
Generic: 6,145 claims · $273K
Patient Profile
68
Avg Age
62%
Female
1.38
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