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 →30
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
9,239
Total Claims
$1.2M
Drug Cost
253
Beneficiaries
$4,815
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+477%
Opioid rate vs peers
21.8% vs 3.8% avg
+310%
Cost per patient vs peers
$4,815 vs $1,174 avg
+78%
Brand preference vs peers
15.8% vs 8.9% avg
Opioid Prescribing
21.8%
Opioid Rate
2,015
Opioid Claims
$218K
Opioid Cost
29.0%
Long-Acting Rate
This provider's opioid prescribing rate of 21.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 1,451 claims · $896K
Generic: 7,733 claims · $313K
Patient Profile
62
Avg Age
66%
Female
1.84
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