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
869
Total Claims
$44K
Drug Cost
44
Beneficiaries
$996
Cost/Patient
Risk Score Breakdown 39/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1144%
Opioid rate vs peers
47.1% vs 3.8% avg
-15%
Cost per patient vs peers
$996 vs $1,174 avg
-18%
Brand preference vs peers
7.2% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
47.1%
Opioid Rate
409
Opioid Claims
$27K
Opioid Cost
22.2%
Long-Acting Rate
This provider's opioid prescribing rate of 47.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 63 claims · $23K
Generic: 806 claims · $21K
Patient Profile
65
Avg Age
68%
Female
1.54
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