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
165
Total Claims
$16K
Drug Cost
40
Beneficiaries
$410
Cost/Patient
Risk Score Breakdown 39/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1454%
Opioid rate vs peers
58.8% vs 3.8% avg
-65%
Cost per patient vs peers
$410 vs $1,174 avg
+57%
Brand preference vs peers
13.9% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
58.8%
Opioid Rate
97
Opioid Claims
$13K
Opioid Cost
45.4%
Long-Acting Rate
This provider's opioid prescribing rate of 58.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 23 claims · $12K
Generic: 142 claims · $4,864
Patient Profile
66
Avg Age
58%
Female
4.43
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