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 →38
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
2,513
Total Claims
$268K
Drug Cost
180
Beneficiaries
$1,490
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1350%
Opioid rate vs peers
54.8% vs 3.8% avg
+27%
Cost per patient vs peers
$1,490 vs $1,174 avg
-23%
Brand preference vs peers
6.8% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
54.8%
Opioid Rate
1,378
Opioid Claims
$190K
Opioid Cost
29.2%
Long-Acting Rate
This provider's opioid prescribing rate of 54.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 172 claims · $162K
Generic: 2,341 claims · $106K
Patient Profile
62
Avg Age
66%
Female
1.88
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