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 →43
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
569
Total Claims
$57K
Drug Cost
69
Beneficiaries
$829
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1540%
Opioid rate vs peers
62.0% vs 3.8% avg
-29%
Cost per patient vs peers
$829 vs $1,174 avg
+67%
Brand preference vs peers
14.8% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
62.0%
Opioid Rate
353
Opioid Claims
$33K
Opioid Cost
33.4%
Long-Acting Rate
This provider's opioid prescribing rate of 62.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 84 claims · $43K
Generic: 485 claims · $14K
Patient Profile
66
Avg Age
62%
Female
1.38
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