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
1,311
Total Claims
$144K
Drug Cost
258
Beneficiaries
$559
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1158%
Opioid rate vs peers
47.6% vs 3.8% avg
-52%
Cost per patient vs peers
$559 vs $1,174 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
47.6%
Opioid Rate
624
Opioid Claims
$75K
Opioid Cost
28.8%
Long-Acting Rate
This provider's opioid prescribing rate of 47.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 1,168 claims · $43K
Patient Profile
68
Avg Age
70%
Female
1.50
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