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 →46
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
3,407
Total Claims
$132K
Drug Cost
471
Beneficiaries
$281
Cost/Patient
Risk Score Breakdown 46/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1749%
Opioid rate vs peers
69.9% vs 3.8% avg
-76%
Cost per patient vs peers
$281 vs $1,174 avg
-70%
Brand preference vs peers
2.7% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
69.9%
Opioid Rate
2,383
Opioid Claims
$83K
Opioid Cost
14.9%
Long-Acting Rate
This provider's opioid prescribing rate of 69.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 92 claims · $41K
Generic: 3,315 claims · $91K
Patient Profile
72
Avg Age
57%
Female
1.53
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