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 →38
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
4,057
Total Claims
$371K
Drug Cost
272
Beneficiaries
$1,365
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1332%
Opioid rate vs peers
54.2% vs 3.8% avg
+16%
Cost per patient vs peers
$1,365 vs $1,174 avg
-3%
Brand preference vs peers
8.6% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
54.2%
Opioid Rate
2,198
Opioid Claims
$308K
Opioid Cost
34.6%
Long-Acting Rate
This provider's opioid prescribing rate of 54.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 348 claims · $179K
Generic: 3,709 claims · $192K
Patient Profile
63
Avg Age
52%
Female
1.30
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