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
461
Total Claims
$31K
Drug Cost
141
Beneficiaries
$218
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1426%
Opioid rate vs peers
57.7% vs 3.8% avg
-81%
Cost per patient vs peers
$218 vs $1,174 avg
-56%
Brand preference vs peers
3.9% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
57.7%
Opioid Rate
266
Opioid Claims
$10K
Opioid Cost
11.7%
Long-Acting Rate
This provider's opioid prescribing rate of 57.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 18 claims · $14K
Generic: 443 claims · $17K
Patient Profile
66
Avg Age
62%
Female
1.61
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