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
1,272
Total Claims
$138K
Drug Cost
165
Beneficiaries
$835
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1401%
Opioid rate vs peers
56.8% vs 3.8% avg
-29%
Cost per patient vs peers
$835 vs $1,174 avg
+23%
Brand preference vs peers
10.9% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
56.8%
Opioid Rate
722
Opioid Claims
$109K
Opioid Cost
32.4%
Long-Acting Rate
This provider's opioid prescribing rate of 56.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 139 claims · $90K
Generic: 1,133 claims · $48K
Patient Profile
67
Avg Age
64%
Female
1.70
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