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
272
Total Claims
$19K
Drug Cost
59
Beneficiaries
$328
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1290%
Opioid rate vs peers
52.6% vs 3.8% avg
-72%
Cost per patient vs peers
$328 vs $1,174 avg
+37%
Brand preference vs peers
12.1% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
52.6%
Opioid Rate
143
Opioid Claims
$13K
Opioid Cost
37.8%
Long-Acting Rate
This provider's opioid prescribing rate of 52.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 33 claims · $10K
Generic: 239 claims · $9,247
Patient Profile
77
Avg Age
71%
Female
2.81
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