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 →46
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
4,502
Total Claims
$241K
Drug Cost
613
Beneficiaries
$393
Cost/Patient
Risk Score Breakdown 46/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1714%
Opioid rate vs peers
68.6% vs 3.8% avg
-67%
Cost per patient vs peers
$393 vs $1,174 avg
-37%
Brand preference vs peers
5.6% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
68.6%
Opioid Rate
3,089
Opioid Claims
$180K
Opioid Cost
17.1%
Long-Acting Rate
This provider's opioid prescribing rate of 68.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 252 claims · $113K
Generic: 4,250 claims · $128K
Patient Profile
71
Avg Age
64%
Female
1.72
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