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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.

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Nicholas SmithAPRN

Nurse Practitioner · Gilbert, AZ 85234

NPI: 1679200158

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34

🟠 Elevated

Risk Flags

Extreme opioid rate vs specialty peers99th percentile opioid prescribing

Risk indicators are statistical patterns, not allegations. Learn more

174

Total Claims

$1,935

Drug Cost

124

Beneficiaries

$16

Cost/Patient

Risk Score Breakdown 34/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+25
Opioid rate (national percentile)+9

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

+1784%

Opioid rate vs peers

71.3% vs 3.8% avg

-99%

Cost per patient vs peers

$16 vs $1,174 avg

⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.

Opioid Prescribing

71.3%

Opioid Rate

124

Opioid Claims

$850

Opioid Cost

Long-Acting Rate

This provider's opioid prescribing rate of 71.3% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 173 claims · $1,599

Patient Profile

73

Avg Age

65%

Female

1.20

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