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
396
Total Claims
$6,334
Drug Cost
145
Beneficiaries
$44
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1402%
Opioid rate vs peers
56.8% vs 3.8% avg
-96%
Cost per patient vs peers
$44 vs $1,174 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
56.8%
Opioid Rate
225
Opioid Claims
$928
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 56.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 389 claims · $3,061
Patient Profile
71
Avg Age
55%
Female
0.98
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About