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
232
Total Claims
$30K
Drug Cost
31
Beneficiaries
$977
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1336%
Opioid rate vs peers
54.3% vs 3.8% avg
-17%
Cost per patient vs peers
$977 vs $1,174 avg
+128%
Brand preference vs peers
20.3% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
54.3%
Opioid Rate
126
Opioid Claims
$27K
Opioid Cost
42.1%
Long-Acting Rate
This provider's opioid prescribing rate of 54.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 47 claims · $24K
Generic: 185 claims · $6,328
Patient Profile
70
Avg Age
61%
Female
3.43
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