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
572
Total Claims
$108K
Drug Cost
82
Beneficiaries
$1,320
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1208%
Opioid rate vs peers
49.5% vs 3.8% avg
+12%
Cost per patient vs peers
$1,320 vs $1,174 avg
-37%
Brand preference vs peers
5.6% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
49.5%
Opioid Rate
283
Opioid Claims
$25K
Opioid Cost
26.9%
Long-Acting Rate
This provider's opioid prescribing rate of 49.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 32 claims · $81K
Generic: 540 claims · $27K
Patient Profile
66
Avg Age
43%
Female
2.11
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