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
157
Total Claims
$678
Drug Cost
100
Beneficiaries
$7
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1500%
Opioid rate vs peers
60.5% vs 3.8% avg
-99%
Cost per patient vs peers
$7 vs $1,174 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
60.5%
Opioid Rate
95
Opioid Claims
$230
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 60.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 156 claims · $673
Patient Profile
71
Avg Age
—
Female
1.08
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