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
643
Total Claims
$43K
Drug Cost
71
Beneficiaries
$599
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1553%
Opioid rate vs peers
62.5% vs 3.8% avg
-49%
Cost per patient vs peers
$599 vs $1,174 avg
-42%
Brand preference vs peers
5.1% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
62.5%
Opioid Rate
402
Opioid Claims
$35K
Opioid Cost
22.6%
Long-Acting Rate
This provider's opioid prescribing rate of 62.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 33 claims · $22K
Generic: 610 claims · $20K
Patient Profile
63
Avg Age
62%
Female
1.80
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