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
1,920
Total Claims
$212K
Drug Cost
396
Beneficiaries
$535
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1530%
Opioid rate vs peers
61.7% vs 3.8% avg
-54%
Cost per patient vs peers
$535 vs $1,174 avg
+32%
Brand preference vs peers
11.7% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
61.7%
Opioid Rate
1,184
Opioid Claims
$161K
Opioid Cost
31.6%
Long-Acting Rate
This provider's opioid prescribing rate of 61.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 224 claims · $138K
Generic: 1,696 claims · $74K
Patient Profile
64
Avg Age
61%
Female
1.77
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