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 →43
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
811
Total Claims
$95K
Drug Cost
112
Beneficiaries
$846
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1615%
Opioid rate vs peers
64.9% vs 3.8% avg
-28%
Cost per patient vs peers
$846 vs $1,174 avg
+6%
Brand preference vs peers
9.4% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
64.9%
Opioid Rate
526
Opioid Claims
$50K
Opioid Cost
25.1%
Long-Acting Rate
This provider's opioid prescribing rate of 64.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 76 claims · $58K
Generic: 735 claims · $36K
Patient Profile
74
Avg Age
75%
Female
1.46
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