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 →37
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
2,056
Total Claims
$58K
Drug Cost
425
Beneficiaries
$136
Cost/Patient
Risk Score Breakdown 37/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1439%
Opioid rate vs peers
58.2% vs 3.8% avg
-88%
Cost per patient vs peers
$136 vs $1,174 avg
-58%
Brand preference vs peers
3.7% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
58.2%
Opioid Rate
1,197
Opioid Claims
$39K
Opioid Cost
3.8%
Long-Acting Rate
This provider's opioid prescribing rate of 58.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 77 claims · $3,978
Generic: 1,979 claims · $54K
Patient Profile
67
Avg Age
73%
Female
2.03
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