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 →43
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
340
Total Claims
$31K
Drug Cost
128
Beneficiaries
$245
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1603%
Opioid rate vs peers
64.4% vs 3.8% avg
-79%
Cost per patient vs peers
$245 vs $1,174 avg
+33%
Brand preference vs peers
11.8% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
64.4%
Opioid Rate
219
Opioid Claims
$23K
Opioid Cost
26.9%
Long-Acting Rate
This provider's opioid prescribing rate of 64.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 40 claims · $23K
Generic: 300 claims · $8,621
Patient Profile
72
Avg Age
66%
Female
1.44
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