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
469
Total Claims
$41K
Drug Cost
135
Beneficiaries
$306
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1174%
Opioid rate vs peers
48.2% vs 3.8% avg
-74%
Cost per patient vs peers
$306 vs $1,174 avg
+37%
Brand preference vs peers
12.2% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
48.2%
Opioid Rate
226
Opioid Claims
$19K
Opioid Cost
14.2%
Long-Acting Rate
This provider's opioid prescribing rate of 48.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 57 claims · $28K
Generic: 412 claims · $13K
Patient Profile
62
Avg Age
61%
Female
2.22
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