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 →Elizabeth ButterworthRN, MSN, APNC
Nurse Practitioner · Cape May Court House, NJ 08210
NPI: 1497863468
63
🔴 High Risk
🚫 This provider appears on the OIG List of Excluded Individuals/Entities (LEIE)
Exclusion type: 1128a4 · Date: 01/20/2026 · State: NJ
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
3,565
Total Claims
$152K
Drug Cost
728
Beneficiaries
$209
Cost/Patient
Risk Score Breakdown 63/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1778%
Opioid rate vs peers
71.0% vs 3.8% avg
-82%
Cost per patient vs peers
$209 vs $1,174 avg
-84%
Brand preference vs peers
1.4% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
This provider appears on the federal OIG exclusion list, meaning they have been formally barred from participating in federal healthcare programs due to fraud, patient abuse, licensing issues, or other misconduct. The fact that they still appear in active prescribing data is a significant concern.
Opioid prescribing rate is 1,778% 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 63/100 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
71.0%
Opioid Rate
2,532
Opioid Claims
$116K
Opioid Cost
5.5%
Long-Acting Rate
This provider's opioid prescribing rate of 71.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 50 claims · $25K
Generic: 3,515 claims · $128K
Patient Profile
63
Avg Age
56%
Female
1.84
Avg Risk Score
Explore More
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