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
303
Total Claims
$21K
Drug Cost
125
Beneficiaries
$171
Cost/Patient
Risk Score Breakdown 48/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1785%
Opioid rate vs peers
71.3% vs 3.8% avg
-85%
Cost per patient vs peers
$171 vs $1,174 avg
-26%
Brand preference vs peers
6.6% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
71.3%
Opioid Rate
216
Opioid Claims
$16K
Opioid Cost
19.9%
Long-Acting Rate
This provider's opioid prescribing rate of 71.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 20 claims · $11K
Generic: 283 claims · $10K
Patient Profile
68
Avg Age
71%
Female
1.53
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