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
181
Total Claims
$16K
Drug Cost
113
Beneficiaries
$143
Cost/Patient
Risk Score Breakdown 37/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1390%
Opioid rate vs peers
56.4% vs 3.8% avg
-88%
Cost per patient vs peers
$143 vs $1,174 avg
+62%
Brand preference vs peers
14.4% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
56.4%
Opioid Rate
102
Opioid Claims
$880
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 56.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 26 claims · $14K
Generic: 155 claims · $1,853
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Rivaroxaban | 25 | $14K |
| Oxycodone Hcl | 63 | $546 |
| Cephalexin | 16 | $227 |
| Tramadol Hcl | 29 | $137 |
Prescribing Profile
Patient Profile
71
Avg Age
64%
Female
1.01
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About