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
319
Total Claims
$27K
Drug Cost
83
Beneficiaries
$320
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+944%
Opioid rate vs peers
39.5% vs 3.8% avg
-73%
Cost per patient vs peers
$320 vs $1,174 avg
-12%
Brand preference vs peers
7.8% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
39.5%
Opioid Rate
126
Opioid Claims
$7,516
Opioid Cost
21.4%
Long-Acting Rate
This provider's opioid prescribing rate of 39.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 25 claims · $10K
Generic: 294 claims · $16K
Patient Profile
62
Avg Age
54%
Female
1.70
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