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 →🤖 ML Fraud Detection Score: 84%
Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
6,376
Total Claims
$221K
Drug Cost
1,057
Beneficiaries
$209
Cost/Patient
Risk Score Breakdown 46/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1856%
Opioid rate vs peers
74.0% vs 3.8% avg
-82%
Cost per patient vs peers
$209 vs $1,174 avg
-79%
Brand preference vs peers
1.8% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
74.0%
Opioid Rate
4,717
Opioid Claims
$168K
Opioid Cost
2.3%
Long-Acting Rate
This provider's opioid prescribing rate of 74.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 116 claims · $21K
Generic: 6,260 claims · $201K
Patient Profile
64
Avg Age
64%
Female
1.74
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