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 →48
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
4,006
Total Claims
$535K
Drug Cost
211
Beneficiaries
$2,536
Cost/Patient
Risk Score Breakdown 48/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1471%
Opioid rate vs peers
59.4% vs 3.8% avg
+116%
Cost per patient vs peers
$2,536 vs $1,174 avg
+27%
Brand preference vs peers
11.3% 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 1,471% 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
59.4%
Opioid Rate
2,380
Opioid Claims
$428K
Opioid Cost
42.1%
Long-Acting Rate
This provider's opioid prescribing rate of 59.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 452 claims · $227K
Generic: 3,554 claims · $308K
Patient Profile
65
Avg Age
68%
Female
1.75
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