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 →31
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
1,033
Total Claims
$42K
Drug Cost
172
Beneficiaries
$245
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1088%
Opioid rate vs peers
44.9% vs 3.8% avg
-79%
Cost per patient vs peers
$245 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
44.9%
Opioid Rate
464
Opioid Claims
$30K
Opioid Cost
25.4%
Long-Acting Rate
This provider's opioid prescribing rate of 44.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 31 claims · $12K
Generic: 1,002 claims · $30K
Patient Profile
71
Avg Age
67%
Female
1.34
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