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
326
Total Claims
$15K
Drug Cost
145
Beneficiaries
$103
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1506%
Opioid rate vs peers
60.7% vs 3.8% avg
-91%
Cost per patient vs peers
$103 vs $1,174 avg
-10%
Brand preference vs peers
8.0% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
60.7%
Opioid Rate
198
Opioid Claims
$11K
Opioid Cost
12.1%
Long-Acting Rate
This provider's opioid prescribing rate of 60.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 26 claims · $5,554
Generic: 300 claims · $9,417
Patient Profile
68
Avg Age
68%
Female
1.28
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