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
650
Total Claims
$55K
Drug Cost
162
Beneficiaries
$341
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+897%
Opioid rate vs peers
37.7% vs 3.8% avg
-71%
Cost per patient vs peers
$341 vs $1,174 avg
-15%
Brand preference vs peers
7.5% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
37.7%
Opioid Rate
245
Opioid Claims
$46K
Opioid Cost
22.0%
Long-Acting Rate
This provider's opioid prescribing rate of 37.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 49 claims · $39K
Generic: 601 claims · $16K
Patient Profile
72
Avg Age
59%
Female
3.88
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