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
1,094
Total Claims
$85K
Drug Cost
52
Beneficiaries
$1,625
Cost/Patient
Risk Score Breakdown 39/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1157%
Opioid rate vs peers
47.5% vs 3.8% avg
+38%
Cost per patient vs peers
$1,625 vs $1,174 avg
-51%
Brand preference vs peers
4.4% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
47.5%
Opioid Rate
520
Opioid Claims
$47K
Opioid Cost
26.2%
Long-Acting Rate
This provider's opioid prescribing rate of 47.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 48 claims · $43K
Generic: 1,046 claims · $41K
Patient Profile
65
Avg Age
52%
Female
1.46
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