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
187
Total Claims
$20K
Drug Cost
28
Beneficiaries
$705
Cost/Patient
Risk Score Breakdown 42/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1879%
Opioid rate vs peers
74.9% vs 3.8% avg
-40%
Cost per patient vs peers
$705 vs $1,174 avg
+99%
Brand preference vs peers
17.6% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
74.9%
Opioid Rate
140
Opioid Claims
$19K
Opioid Cost
29.3%
Long-Acting Rate
This provider's opioid prescribing rate of 74.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 33 claims · $16K
Generic: 154 claims · $3,273
Patient Profile
69
Avg Age
54%
Female
2.65
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