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
1,028
Total Claims
$81K
Drug Cost
181
Beneficiaries
$447
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1181%
Opioid rate vs peers
48.4% vs 3.8% avg
-62%
Cost per patient vs peers
$447 vs $1,174 avg
-31%
Brand preference vs peers
6.1% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
48.4%
Opioid Rate
498
Opioid Claims
$44K
Opioid Cost
32.9%
Long-Acting Rate
This provider's opioid prescribing rate of 48.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 63 claims · $55K
Generic: 965 claims · $26K
Patient Profile
68
Avg Age
61%
Female
1.61
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About