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
978
Total Claims
$91K
Drug Cost
332
Beneficiaries
$273
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1638%
Opioid rate vs peers
65.7% vs 3.8% avg
-77%
Cost per patient vs peers
$273 vs $1,174 avg
-9%
Brand preference vs peers
8.1% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
65.7%
Opioid Rate
643
Opioid Claims
$65K
Opioid Cost
28.1%
Long-Acting Rate
This provider's opioid prescribing rate of 65.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 79 claims · $34K
Generic: 899 claims · $56K
Patient Profile
66
Avg Age
64%
Female
1.35
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