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
415
Total Claims
$27K
Drug Cost
150
Beneficiaries
$178
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1161%
Opioid rate vs peers
47.7% vs 3.8% avg
-85%
Cost per patient vs peers
$178 vs $1,174 avg
-18%
Brand preference vs peers
7.2% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
47.7%
Opioid Rate
198
Opioid Claims
$14K
Opioid Cost
22.7%
Long-Acting Rate
This provider's opioid prescribing rate of 47.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 30 claims · $12K
Generic: 385 claims · $15K
Patient Profile
65
Avg Age
59%
Female
2.09
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