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 →43
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
345
Total Claims
$11K
Drug Cost
63
Beneficiaries
$179
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1471%
Opioid rate vs peers
59.4% vs 3.8% avg
-85%
Cost per patient vs peers
$179 vs $1,174 avg
-41%
Brand preference vs peers
5.2% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
59.4%
Opioid Rate
205
Opioid Claims
$7,258
Opioid Cost
20.5%
Long-Acting Rate
This provider's opioid prescribing rate of 59.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 18 claims · $3,122
Generic: 327 claims · $8,144
Patient Profile
72
Avg Age
68%
Female
1.69
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