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
138
Total Claims
$6,255
Drug Cost
30
Beneficiaries
$209
Cost/Patient
Risk Score Breakdown 29/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+973%
Opioid rate vs peers
40.6% vs 3.8% avg
-82%
Cost per patient vs peers
$209 vs $1,174 avg
+14%
Brand preference vs peers
10.1% 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 973% 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
40.6%
Opioid Rate
56
Opioid Claims
$3,797
Opioid Cost
26.8%
Long-Acting Rate
This provider's opioid prescribing rate of 40.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 14 claims · $2,594
Generic: 124 claims · $3,661
Patient Profile
73
Avg Age
53%
Female
3.91
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