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
150
Total Claims
$6,504
Drug Cost
60
Beneficiaries
$108
Cost/Patient
Risk Score Breakdown 29/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1134%
Opioid rate vs peers
46.7% vs 3.8% avg
-91%
Cost per patient vs peers
$108 vs $1,174 avg
+35%
Brand preference vs peers
12.0% 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 1,134% 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
46.7%
Opioid Rate
70
Opioid Claims
$3,438
Opioid Cost
22.9%
Long-Acting Rate
This provider's opioid prescribing rate of 46.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 18 claims · $2,383
Generic: 132 claims · $4,121
Patient Profile
66
Avg Age
63%
Female
3.21
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