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
505
Total Claims
$36K
Drug Cost
91
Beneficiaries
$397
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1136%
Opioid rate vs peers
46.7% vs 3.8% avg
-66%
Cost per patient vs peers
$397 vs $1,174 avg
+14%
Brand preference vs peers
10.1% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
46.7%
Opioid Rate
236
Opioid Claims
$17K
Opioid Cost
32.2%
Long-Acting Rate
This provider's opioid prescribing rate of 46.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 51 claims · $23K
Generic: 454 claims · $13K
Patient Profile
65
Avg Age
74%
Female
2.28
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