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 →Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
250
Total Claims
$12K
Drug Cost
36
Beneficiaries
$335
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1095%
Opioid rate vs peers
45.2% vs 3.8% avg
-72%
Cost per patient vs peers
$335 vs $1,174 avg
+35%
Brand preference vs peers
12.0% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
45.2%
Opioid Rate
113
Opioid Claims
$9,551
Opioid Cost
41.6%
Long-Acting Rate
This provider's opioid prescribing rate of 45.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 30 claims · $7,061
Generic: 220 claims · $4,988
Patient Profile
74
Avg Age
50%
Female
2.36
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