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
528
Total Claims
$17K
Drug Cost
75
Beneficiaries
$233
Cost/Patient
Risk Score Breakdown 44/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1883%
Opioid rate vs peers
75.0% vs 3.8% avg
-80%
Cost per patient vs peers
$233 vs $1,174 avg
-42%
Brand preference vs peers
5.1% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
75.0%
Opioid Rate
396
Opioid Claims
$12K
Opioid Cost
13.9%
Long-Acting Rate
This provider's opioid prescribing rate of 75.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 27 claims · $3,398
Generic: 501 claims · $14K
Patient Profile
67
Avg Age
57%
Female
4.00
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