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
1,060
Total Claims
$52K
Drug Cost
74
Beneficiaries
$708
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1412%
Opioid rate vs peers
57.2% vs 3.8% avg
-40%
Cost per patient vs peers
$708 vs $1,174 avg
-34%
Brand preference vs peers
5.8% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
57.2%
Opioid Rate
606
Opioid Claims
$40K
Opioid Cost
25.1%
Long-Acting Rate
This provider's opioid prescribing rate of 57.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 62 claims · $27K
Generic: 998 claims · $25K
Patient Profile
62
Avg Age
42%
Female
1.39
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