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 →39
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
135
Total Claims
$9,964
Drug Cost
72
Beneficiaries
$138
Cost/Patient
Risk Score Breakdown 39/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1643%
Opioid rate vs peers
65.9% vs 3.8% avg
-88%
Cost per patient vs peers
$138 vs $1,174 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
65.9%
Opioid Rate
89
Opioid Claims
$7,270
Opioid Cost
22.5%
Long-Acting Rate
This provider's opioid prescribing rate of 65.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 126 claims · $4,660
Patient Profile
67
Avg Age
65%
Female
1.88
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About