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 →31
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
815
Total Claims
$110K
Drug Cost
75
Beneficiaries
$1,467
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+860%
Opioid rate vs peers
36.3% vs 3.8% avg
+25%
Cost per patient vs peers
$1,467 vs $1,174 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
36.3%
Opioid Rate
296
Opioid Claims
$12K
Opioid Cost
34.1%
Long-Acting Rate
This provider's opioid prescribing rate of 36.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 747 claims · $23K
Patient Profile
71
Avg Age
60%
Female
3.21
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