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 →35
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
1,105
Total Claims
$21K
Drug Cost
216
Beneficiaries
$95
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1379%
Opioid rate vs peers
55.9% vs 3.8% avg
-92%
Cost per patient vs peers
$95 vs $1,174 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
55.9%
Opioid Rate
618
Opioid Claims
$9,370
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 55.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 1,101 claims · $20K
Patient Profile
72
Avg Age
64%
Female
1.57
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