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 →32
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
474
Total Claims
$17K
Drug Cost
135
Beneficiaries
$126
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1311%
Opioid rate vs peers
53.4% vs 3.8% avg
-89%
Cost per patient vs peers
$126 vs $1,174 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
53.4%
Opioid Rate
253
Opioid Claims
$13K
Opioid Cost
17.8%
Long-Acting Rate
This provider's opioid prescribing rate of 53.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 466 claims · $15K
Patient Profile
69
Avg Age
70%
Female
1.78
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