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 →32
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
1,121
Total Claims
$52K
Drug Cost
79
Beneficiaries
$661
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1207%
Opioid rate vs peers
49.4% vs 3.8% avg
-44%
Cost per patient vs peers
$661 vs $1,174 avg
-15%
Brand preference vs peers
7.5% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
49.4%
Opioid Rate
554
Opioid Claims
$25K
Opioid Cost
18.2%
Long-Acting Rate
This provider's opioid prescribing rate of 49.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 84 claims · $22K
Generic: 1,037 claims · $31K
Patient Profile
66
Avg Age
61%
Female
1.88
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