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.
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🔴 High Risk
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
3,162
Total Claims
$327K
Drug Cost
237
Beneficiaries
$1,379
Cost/Patient
Risk Score Breakdown 50/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1857%
Opioid rate vs peers
74.0% vs 3.8% avg
+17%
Cost per patient vs peers
$1,379 vs $1,174 avg
+25%
Brand preference vs peers
11.1% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
74.0%
Opioid Rate
2,340
Opioid Claims
$263K
Opioid Cost
31.7%
Long-Acting Rate
This provider's opioid prescribing rate of 74.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 350 claims · $197K
Generic: 2,812 claims · $130K
Patient Profile
64
Avg Age
68%
Female
1.97
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.Methodology · About