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 →50
🔴 High Risk
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
2,262
Total Claims
$136K
Drug Cost
184
Beneficiaries
$736
Cost/Patient
Risk Score Breakdown 50/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1952%
Opioid rate vs peers
77.6% vs 3.8% avg
-37%
Cost per patient vs peers
$736 vs $1,174 avg
+51%
Brand preference vs peers
13.4% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
77.6%
Opioid Rate
1,756
Opioid Claims
$113K
Opioid Cost
27.6%
Long-Acting Rate
This provider's opioid prescribing rate of 77.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 303 claims · $86K
Generic: 1,959 claims · $50K
Patient Profile
62
Avg Age
55%
Female
1.79
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