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
1,212
Total Claims
$66K
Drug Cost
280
Beneficiaries
$235
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1229%
Opioid rate vs peers
50.2% vs 3.8% avg
-80%
Cost per patient vs peers
$235 vs $1,174 avg
-50%
Brand preference vs peers
4.5% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
50.2%
Opioid Rate
609
Opioid Claims
$47K
Opioid Cost
22.2%
Long-Acting Rate
This provider's opioid prescribing rate of 50.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 54 claims · $28K
Generic: 1,158 claims · $38K
Patient Profile
71
Avg Age
63%
Female
1.48
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