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
739
Total Claims
$39K
Drug Cost
168
Beneficiaries
$233
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+830%
Opioid rate vs peers
35.2% vs 3.8% avg
-80%
Cost per patient vs peers
$233 vs $1,174 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
35.2%
Opioid Rate
260
Opioid Claims
$16K
Opioid Cost
27.7%
Long-Acting Rate
This provider's opioid prescribing rate of 35.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 647 claims · $23K
Patient Profile
81
Avg Age
76%
Female
2.42
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