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 →Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
321
Total Claims
$15K
Drug Cost
96
Beneficiaries
$151
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1547%
Opioid rate vs peers
62.3% vs 3.8% avg
-87%
Cost per patient vs peers
$151 vs $1,174 avg
+132%
Brand preference vs peers
20.6% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
62.3%
Opioid Rate
200
Opioid Claims
$9,988
Opioid Cost
23.0%
Long-Acting Rate
This provider's opioid prescribing rate of 62.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 66 claims · $6,995
Generic: 255 claims · $7,530
Patient Profile
72
Avg Age
64%
Female
3.27
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