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
1,393
Total Claims
$106K
Drug Cost
125
Beneficiaries
$851
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1498%
Opioid rate vs peers
60.4% vs 3.8% avg
-28%
Cost per patient vs peers
$851 vs $1,174 avg
-28%
Brand preference vs peers
6.4% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
60.4%
Opioid Rate
842
Opioid Claims
$85K
Opioid Cost
49.3%
Long-Acting Rate
This provider's opioid prescribing rate of 60.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 89 claims · $31K
Generic: 1,304 claims · $76K
Patient Profile
64
Avg Age
52%
Female
3.35
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