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
198
Total Claims
$5,924
Drug Cost
47
Beneficiaries
$126
Cost/Patient
Risk Score Breakdown 29/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1075%
Opioid rate vs peers
44.4% vs 3.8% avg
-89%
Cost per patient vs peers
$126 vs $1,174 avg
+54%
Brand preference vs peers
13.6% 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 1,075% 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
44.4%
Opioid Rate
88
Opioid Claims
$4,656
Opioid Cost
22.7%
Long-Acting Rate
This provider's opioid prescribing rate of 44.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 27 claims · $2,931
Generic: 171 claims · $2,992
Patient Profile
68
Avg Age
64%
Female
2.65
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