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
490
Total Claims
$53K
Drug Cost
82
Beneficiaries
$652
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1211%
Opioid rate vs peers
49.6% vs 3.8% avg
-44%
Cost per patient vs peers
$652 vs $1,174 avg
-22%
Brand preference vs peers
6.9% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
49.6%
Opioid Rate
243
Opioid Claims
$35K
Opioid Cost
30.9%
Long-Acting Rate
This provider's opioid prescribing rate of 49.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 34 claims · $26K
Generic: 456 claims · $27K
Patient Profile
60
Avg Age
54%
Female
1.50
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About