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 →40
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
632
Total Claims
$30K
Drug Cost
90
Beneficiaries
$338
Cost/Patient
Risk Score Breakdown 40/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1795%
Opioid rate vs peers
71.7% vs 3.8% avg
-71%
Cost per patient vs peers
$338 vs $1,174 avg
-18%
Brand preference vs peers
7.3% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
71.7%
Opioid Rate
453
Opioid Claims
$21K
Opioid Cost
11.0%
Long-Acting Rate
This provider's opioid prescribing rate of 71.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 46 claims · $12K
Generic: 586 claims · $19K
Patient Profile
70
Avg Age
60%
Female
3.94
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About