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
632
Total Claims
$18K
Drug Cost
131
Beneficiaries
$141
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1264%
Opioid rate vs peers
51.6% vs 3.8% avg
-88%
Cost per patient vs peers
$141 vs $1,174 avg
-71%
Brand preference vs peers
2.5% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
51.6%
Opioid Rate
326
Opioid Claims
$13K
Opioid Cost
28.8%
Long-Acting Rate
This provider's opioid prescribing rate of 51.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 16 claims · $2,495
Generic: 616 claims · $16K
Patient Profile
64
Avg Age
69%
Female
3.06
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