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 →48
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
724
Total Claims
$52K
Drug Cost
258
Beneficiaries
$203
Cost/Patient
Risk Score Breakdown 48/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1803%
Opioid rate vs peers
72.0% vs 3.8% avg
-83%
Cost per patient vs peers
$203 vs $1,174 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
72.0%
Opioid Rate
521
Opioid Claims
$39K
Opioid Cost
21.9%
Long-Acting Rate
This provider's opioid prescribing rate of 72.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 670 claims · $24K
Patient Profile
66
Avg Age
62%
Female
1.69
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