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
1,357
Total Claims
$140K
Drug Cost
160
Beneficiaries
$875
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1537%
Opioid rate vs peers
61.9% vs 3.8% avg
-25%
Cost per patient vs peers
$875 vs $1,174 avg
+9%
Brand preference vs peers
9.7% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
61.9%
Opioid Rate
840
Opioid Claims
$101K
Opioid Cost
27.6%
Long-Acting Rate
This provider's opioid prescribing rate of 61.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 131 claims · $95K
Generic: 1,226 claims · $46K
Patient Profile
61
Avg Age
59%
Female
1.54
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