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
7,471
Total Claims
$1.5M
Drug Cost
369
Beneficiaries
$3,933
Cost/Patient
Risk Score Breakdown 24/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+504%
Opioid rate vs peers
22.9% vs 3.8% avg
+235%
Cost per patient vs peers
$3,933 vs $1,174 avg
+60%
Brand preference vs peers
14.2% vs 8.9% avg
🔎 Data Overview
Opioid prescribing rate is 504% 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
22.9%
Opioid Rate
1,708
Opioid Claims
$219K
Opioid Cost
22.4%
Long-Acting Rate
This provider's opioid prescribing rate of 22.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 1,058 claims · $1.2M
Generic: 6,388 claims · $254K
Patient Profile
71
Avg Age
55%
Female
2.27
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