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 →43
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
1,584
Total Claims
$90K
Drug Cost
127
Beneficiaries
$707
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1427%
Opioid rate vs peers
57.8% vs 3.8% avg
-40%
Cost per patient vs peers
$707 vs $1,174 avg
-29%
Brand preference vs peers
6.3% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
57.8%
Opioid Rate
915
Opioid Claims
$72K
Opioid Cost
20.1%
Long-Acting Rate
This provider's opioid prescribing rate of 57.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 100 claims · $45K
Generic: 1,484 claims · $45K
Patient Profile
61
Avg Age
67%
Female
1.89
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