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 →41
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
2,462
Total Claims
$220K
Drug Cost
530
Beneficiaries
$416
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1366%
Opioid rate vs peers
55.4% vs 3.8% avg
-65%
Cost per patient vs peers
$416 vs $1,174 avg
-20%
Brand preference vs peers
7.1% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
55.4%
Opioid Rate
1,365
Opioid Claims
$83K
Opioid Cost
15.8%
Long-Acting Rate
This provider's opioid prescribing rate of 55.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 174 claims · $130K
Generic: 2,288 claims · $90K
Patient Profile
66
Avg Age
61%
Female
1.57
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