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 →48
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
267
Total Claims
$17K
Drug Cost
32
Beneficiaries
$517
Cost/Patient
Risk Score Breakdown 48/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1692%
Opioid rate vs peers
67.8% vs 3.8% avg
-56%
Cost per patient vs peers
$517 vs $1,174 avg
+39%
Brand preference vs peers
12.4% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
67.8%
Opioid Rate
181
Opioid Claims
$15K
Opioid Cost
32.0%
Long-Acting Rate
This provider's opioid prescribing rate of 67.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 33 claims · $9,817
Generic: 234 claims · $6,717
Patient Profile
69
Avg Age
47%
Female
3.42
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