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
806
Total Claims
$100K
Drug Cost
83
Beneficiaries
$1,206
Cost/Patient
Risk Score Breakdown 48/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1917%
Opioid rate vs peers
76.3% vs 3.8% avg
+3%
Cost per patient vs peers
$1,206 vs $1,174 avg
+13%
Brand preference vs peers
10.0% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
76.3%
Opioid Rate
615
Opioid Claims
$85K
Opioid Cost
29.6%
Long-Acting Rate
This provider's opioid prescribing rate of 76.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 81 claims · $66K
Generic: 725 claims · $34K
Patient Profile
61
Avg Age
52%
Female
1.34
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