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
129
Total Claims
$432K
Drug Cost
23
Beneficiaries
$19K
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+720%
Opioid rate vs peers
31.0% vs 3.8% avg
+1498%
Cost per patient vs peers
$19K vs $1,174 avg
+337%
Brand preference vs peers
38.8% 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 720% above the average for Nurse Practitioner providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Cost per patient is 1498% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
31.0%
Opioid Rate
40
Opioid Claims
$11K
Opioid Cost
35.0%
Long-Acting Rate
This provider's opioid prescribing rate of 31.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 50 claims · $330K
Generic: 79 claims · $102K
Patient Profile
38
Avg Age
—
Female
3.97
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