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 →50
🔴 High Risk
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
2,893
Total Claims
$252K
Drug Cost
243
Beneficiaries
$1,037
Cost/Patient
Risk Score Breakdown 50/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1690%
Opioid rate vs peers
67.7% vs 3.8% avg
-12%
Cost per patient vs peers
$1,037 vs $1,174 avg
+18%
Brand preference vs peers
10.4% 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 1,690% 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
67.7%
Opioid Rate
1,959
Opioid Claims
$198K
Opioid Cost
33.4%
Long-Acting Rate
This provider's opioid prescribing rate of 67.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 302 claims · $114K
Generic: 2,591 claims · $138K
Patient Profile
72
Avg Age
68%
Female
1.37
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 of wrongdoing.Methodology · About · Dispute this data