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 →37
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
4,561
Total Claims
$262K
Drug Cost
395
Beneficiaries
$663
Cost/Patient
Risk Score Breakdown 37/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1447%
Opioid rate vs peers
58.5% vs 3.8% avg
-44%
Cost per patient vs peers
$663 vs $1,174 avg
-64%
Brand preference vs peers
3.2% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
58.5%
Opioid Rate
2,668
Opioid Claims
$151K
Opioid Cost
9.9%
Long-Acting Rate
This provider's opioid prescribing rate of 58.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 145 claims · $130K
Generic: 4,416 claims · $131K
Patient Profile
65
Avg Age
67%
Female
1.96
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