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
2,106
Total Claims
$65K
Drug Cost
255
Beneficiaries
$255
Cost/Patient
Risk Score Breakdown 37/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1368%
Opioid rate vs peers
55.5% vs 3.8% avg
-78%
Cost per patient vs peers
$255 vs $1,174 avg
-59%
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
55.5%
Opioid Rate
1,169
Opioid Claims
$33K
Opioid Cost
6.2%
Long-Acting Rate
This provider's opioid prescribing rate of 55.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 77 claims · $22K
Generic: 2,029 claims · $43K
Patient Profile
71
Avg Age
65%
Female
1.57
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