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 →41
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
3,755
Total Claims
$163K
Drug Cost
288
Beneficiaries
$565
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1498%
Opioid rate vs peers
60.4% vs 3.8% avg
-52%
Cost per patient vs peers
$565 vs $1,174 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
60.4%
Opioid Rate
2,269
Opioid Claims
$97K
Opioid Cost
15.9%
Long-Acting Rate
This provider's opioid prescribing rate of 60.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 3,600 claims · $100K
Patient Profile
69
Avg Age
66%
Female
1.36
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