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 →31
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
181
Total Claims
$910
Drug Cost
120
Beneficiaries
$8
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1580%
Opioid rate vs peers
63.5% vs 3.8% avg
-99%
Cost per patient vs peers
$8 vs $1,174 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
63.5%
Opioid Rate
115
Opioid Claims
$625
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 63.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 181 claims · $910
Patient Profile
72
Avg Age
63%
Female
0.94
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