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
468
Total Claims
$45K
Drug Cost
69
Beneficiaries
$652
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1572%
Opioid rate vs peers
63.2% vs 3.8% avg
-44%
Cost per patient vs peers
$652 vs $1,174 avg
+6%
Brand preference vs peers
9.4% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
63.2%
Opioid Rate
296
Opioid Claims
$39K
Opioid Cost
40.5%
Long-Acting Rate
This provider's opioid prescribing rate of 63.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 44 claims · $22K
Generic: 424 claims · $23K
Patient Profile
72
Avg Age
62%
Female
1.53
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