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 →46
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
466
Total Claims
$208K
Drug Cost
42
Beneficiaries
$4,946
Cost/Patient
Risk Score Breakdown 46/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1636%
Opioid rate vs peers
65.7% vs 3.8% avg
+321%
Cost per patient vs peers
$4,946 vs $1,174 avg
+101%
Brand preference vs peers
17.8% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
65.7%
Opioid Rate
306
Opioid Claims
$24K
Opioid Cost
22.2%
Long-Acting Rate
This provider's opioid prescribing rate of 65.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 83 claims · $177K
Generic: 383 claims · $30K
Patient Profile
41
Avg Age
48%
Female
4.12
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