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 →37
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
2,096
Total Claims
$93K
Drug Cost
209
Beneficiaries
$447
Cost/Patient
Risk Score Breakdown 37/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1386%
Opioid rate vs peers
56.2% vs 3.8% avg
-62%
Cost per patient vs peers
$447 vs $1,174 avg
-70%
Brand preference vs peers
2.7% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
56.2%
Opioid Rate
1,178
Opioid Claims
$62K
Opioid Cost
10.9%
Long-Acting Rate
This provider's opioid prescribing rate of 56.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 56 claims · $31K
Generic: 2,040 claims · $63K
Patient Profile
64
Avg Age
59%
Female
2.06
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