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 →36
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
416
Total Claims
$32K
Drug Cost
66
Beneficiaries
$483
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1146%
Opioid rate vs peers
47.1% vs 3.8% avg
-59%
Cost per patient vs peers
$483 vs $1,174 avg
-24%
Brand preference vs peers
6.7% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
47.1%
Opioid Rate
196
Opioid Claims
$16K
Opioid Cost
28.1%
Long-Acting Rate
This provider's opioid prescribing rate of 47.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 28 claims · $11K
Generic: 388 claims · $20K
Patient Profile
69
Avg Age
55%
Female
3.29
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