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
636
Total Claims
$37K
Drug Cost
97
Beneficiaries
$383
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1006%
Opioid rate vs peers
41.8% vs 3.8% avg
-67%
Cost per patient vs peers
$383 vs $1,174 avg
-27%
Brand preference vs peers
6.4% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
41.8%
Opioid Rate
266
Opioid Claims
$30K
Opioid Cost
28.9%
Long-Acting Rate
This provider's opioid prescribing rate of 41.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 41 claims · $18K
Generic: 595 claims · $20K
Patient Profile
70
Avg Age
47%
Female
3.01
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