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 →45
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
3,975
Total Claims
$456K
Drug Cost
474
Beneficiaries
$961
Cost/Patient
Risk Score Breakdown 45/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1431%
Opioid rate vs peers
57.9% vs 3.8% avg
-18%
Cost per patient vs peers
$961 vs $1,174 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
57.9%
Opioid Rate
2,302
Opioid Claims
$275K
Opioid Cost
31.5%
Long-Acting Rate
This provider's opioid prescribing rate of 57.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 3,469 claims · $153K
Patient Profile
64
Avg Age
60%
Female
1.80
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