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
6,409
Total Claims
$522K
Drug Cost
946
Beneficiaries
$551
Cost/Patient
Risk Score Breakdown 55/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1766%
Opioid rate vs peers
70.6% vs 3.8% avg
-53%
Cost per patient vs peers
$551 vs $1,174 avg
+25%
Brand preference vs peers
11.1% 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 1,766% 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 55/100 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
70.6%
Opioid Rate
4,524
Opioid Claims
$436K
Opioid Cost
34.7%
Long-Acting Rate
This provider's opioid prescribing rate of 70.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 710 claims · $328K
Generic: 5,699 claims · $194K
Patient Profile
64
Avg Age
59%
Female
1.71
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