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 →50
🔴 High Risk
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
3,397
Total Claims
$168K
Drug Cost
230
Beneficiaries
$731
Cost/Patient
Risk Score Breakdown 50/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1864%
Opioid rate vs peers
74.3% vs 3.8% avg
-38%
Cost per patient vs peers
$731 vs $1,174 avg
-71%
Brand preference vs peers
2.5% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
74.3%
Opioid Rate
2,524
Opioid Claims
$141K
Opioid Cost
38.2%
Long-Acting Rate
This provider's opioid prescribing rate of 74.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 86 claims · $37K
Generic: 3,311 claims · $131K
Patient Profile
69
Avg Age
59%
Female
1.67
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