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
102
Total Claims
$3,716
Drug Cost
20
Beneficiaries
$186
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1585%
Opioid rate vs peers
63.7% vs 3.8% avg
-84%
Cost per patient vs peers
$186 vs $1,174 avg
+99%
Brand preference vs peers
17.6% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
63.7%
Opioid Rate
65
Opioid Claims
$2,296
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 63.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 18 claims · $1,417
Generic: 84 claims · $2,299
Patient Profile
93
Avg Age
—
Female
2.20
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