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
640
Total Claims
$332K
Drug Cost
221
Beneficiaries
$1,504
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1069%
Opioid rate vs peers
44.2% vs 3.8% avg
+28%
Cost per patient vs peers
$1,504 vs $1,174 avg
+20%
Brand preference vs peers
10.6% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
44.2%
Opioid Rate
283
Opioid Claims
$19K
Opioid Cost
27.9%
Long-Acting Rate
This provider's opioid prescribing rate of 44.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 68 claims · $312K
Generic: 572 claims · $21K
Patient Profile
70
Avg Age
61%
Female
2.33
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