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 →35
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
239
Total Claims
$2,207
Drug Cost
142
Beneficiaries
$16
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1460%
Opioid rate vs peers
59.0% vs 3.8% avg
-99%
Cost per patient vs peers
$16 vs $1,174 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
59.0%
Opioid Rate
141
Opioid Claims
$1,135
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 59.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 238 claims · $1,927
Patient Profile
71
Avg Age
57%
Female
0.95
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