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
596
Total Claims
$16K
Drug Cost
69
Beneficiaries
$237
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+929%
Opioid rate vs peers
38.9% vs 3.8% avg
-80%
Cost per patient vs peers
$237 vs $1,174 avg
-70%
Brand preference vs peers
2.7% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
38.9%
Opioid Rate
232
Opioid Claims
$12K
Opioid Cost
26.3%
Long-Acting Rate
This provider's opioid prescribing rate of 38.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 16 claims · $3,465
Generic: 580 claims · $13K
Patient Profile
65
Avg Age
62%
Female
1.96
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