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
6,103
Total Claims
$328K
Drug Cost
528
Beneficiaries
$621
Cost/Patient
Risk Score Breakdown 51/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1710%
Opioid rate vs peers
68.4% vs 3.8% avg
-47%
Cost per patient vs peers
$621 vs $1,174 avg
-54%
Brand preference vs peers
4.1% 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 1,710% 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 51/100 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
68.4%
Opioid Rate
4,177
Opioid Claims
$252K
Opioid Cost
15.8%
Long-Acting Rate
This provider's opioid prescribing rate of 68.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 250 claims · $127K
Generic: 5,853 claims · $201K
Patient Profile
68
Avg Age
66%
Female
2.00
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