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 →34
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
2,049
Total Claims
$65K
Drug Cost
208
Beneficiaries
$313
Cost/Patient
Risk Score Breakdown 34/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1163%
Opioid rate vs peers
47.8% vs 3.8% avg
-73%
Cost per patient vs peers
$313 vs $1,174 avg
-66%
Brand preference vs peers
3.0% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
47.8%
Opioid Rate
979
Opioid Claims
$31K
Opioid Cost
17.0%
Long-Acting Rate
This provider's opioid prescribing rate of 47.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 62 claims · $13K
Generic: 1,987 claims · $52K
Patient Profile
64
Avg Age
75%
Female
1.84
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