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 →16
🟡 Moderate
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
142
Total Claims
$2,770
Drug Cost
44
Beneficiaries
$63
Cost/Patient
Risk Score Breakdown 16/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+719%
Opioid rate vs peers
31.0% vs 3.8% avg
-95%
Cost per patient vs peers
$63 vs $1,174 avg
Opioid Prescribing
31.0%
Opioid Rate
44
Opioid Claims
$584
Opioid Cost
—
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: 0 claims · $0
Generic: 133 claims · $2,072
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Gabapentin | 27 | $356 |
| Methocarbamol | 12 | $239 |
| Oxycodone Hcl | 22 | $196 |
Prescribing Profile
3
Unique Drugs
16.0
Anomaly Score
Patient Profile
74
Avg Age
68%
Female
1.30
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.Methodology · About