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
414
Total Claims
$19K
Drug Cost
118
Beneficiaries
$159
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1624%
Opioid rate vs peers
65.2% vs 3.8% avg
-86%
Cost per patient vs peers
$159 vs $1,174 avg
-46%
Brand preference vs peers
4.8% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
65.2%
Opioid Rate
270
Opioid Claims
$15K
Opioid Cost
24.1%
Long-Acting Rate
This provider's opioid prescribing rate of 65.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 20 claims · $7,305
Generic: 394 claims · $11K
Patient Profile
69
Avg Age
53%
Female
1.41
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