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 →36
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
1,396
Total Claims
$139K
Drug Cost
178
Beneficiaries
$781
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1296%
Opioid rate vs peers
52.8% vs 3.8% avg
-33%
Cost per patient vs peers
$781 vs $1,174 avg
+35%
Brand preference vs peers
12.0% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
52.8%
Opioid Rate
737
Opioid Claims
$81K
Opioid Cost
26.7%
Long-Acting Rate
This provider's opioid prescribing rate of 52.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 167 claims · $82K
Generic: 1,229 claims · $58K
Patient Profile
70
Avg Age
71%
Female
1.47
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