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 →45
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
3,541
Total Claims
$445K
Drug Cost
383
Beneficiaries
$1,163
Cost/Patient
Risk Score Breakdown 45/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1582%
Opioid rate vs peers
63.6% vs 3.8% avg
-1%
Cost per patient vs peers
$1,163 vs $1,174 avg
+16%
Brand preference vs peers
10.3% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
63.6%
Opioid Rate
2,253
Opioid Claims
$271K
Opioid Cost
20.6%
Long-Acting Rate
This provider's opioid prescribing rate of 63.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 364 claims · $322K
Generic: 3,177 claims · $123K
Patient Profile
68
Avg Age
72%
Female
1.49
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