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 →40
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
1,698
Total Claims
$114K
Drug Cost
181
Beneficiaries
$627
Cost/Patient
Risk Score Breakdown 40/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1795%
Opioid rate vs peers
71.7% vs 3.8% avg
-47%
Cost per patient vs peers
$627 vs $1,174 avg
-44%
Brand preference vs peers
5.0% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
71.7%
Opioid Rate
1,217
Opioid Claims
$77K
Opioid Cost
11.6%
Long-Acting Rate
This provider's opioid prescribing rate of 71.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 85 claims · $35K
Generic: 1,613 claims · $78K
Patient Profile
67
Avg Age
58%
Female
1.50
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