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 →47
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
6,224
Total Claims
$788K
Drug Cost
531
Beneficiaries
$1,483
Cost/Patient
Risk Score Breakdown 47/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1138%
Opioid rate vs peers
46.8% vs 3.8% avg
+26%
Cost per patient vs peers
$1,483 vs $1,174 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 1,138% 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
46.8%
Opioid Rate
2,914
Opioid Claims
$605K
Opioid Cost
29.7%
Long-Acting Rate
This provider's opioid prescribing rate of 46.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 551 claims · $523K
Generic: 5,673 claims · $265K
Patient Profile
65
Avg Age
50%
Female
2.04
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