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
514
Total Claims
$26K
Drug Cost
86
Beneficiaries
$307
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+975%
Opioid rate vs peers
40.7% vs 3.8% avg
-74%
Cost per patient vs peers
$307 vs $1,174 avg
-63%
Brand preference vs peers
3.3% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
40.7%
Opioid Rate
209
Opioid Claims
$14K
Opioid Cost
30.6%
Long-Acting Rate
This provider's opioid prescribing rate of 40.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 17 claims · $7,056
Generic: 497 claims · $19K
Patient Profile
73
Avg Age
71%
Female
3.09
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