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 →35
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
1,547
Total Claims
$68K
Drug Cost
452
Beneficiaries
$151
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1394%
Opioid rate vs peers
56.5% vs 3.8% avg
-87%
Cost per patient vs peers
$151 vs $1,174 avg
-60%
Brand preference vs peers
3.6% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
56.5%
Opioid Rate
874
Opioid Claims
$35K
Opioid Cost
11.3%
Long-Acting Rate
This provider's opioid prescribing rate of 56.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 55 claims · $32K
Generic: 1,492 claims · $36K
Patient Profile
68
Avg Age
68%
Female
1.92
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