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
209
Total Claims
$18K
Drug Cost
46
Beneficiaries
$397
Cost/Patient
Risk Score Breakdown 48/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1937%
Opioid rate vs peers
77.0% vs 3.8% avg
-66%
Cost per patient vs peers
$397 vs $1,174 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
77.0%
Opioid Rate
161
Opioid Claims
$14K
Opioid Cost
23.0%
Long-Acting Rate
This provider's opioid prescribing rate of 77.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 203 claims · $15K
Patient Profile
70
Avg Age
57%
Female
1.75
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