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 →Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
221
Total Claims
$18K
Drug Cost
30
Beneficiaries
$591
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1096%
Opioid rate vs peers
45.2% vs 3.8% avg
-50%
Cost per patient vs peers
$591 vs $1,174 avg
+33%
Brand preference vs peers
11.8% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
45.2%
Opioid Rate
100
Opioid Claims
$15K
Opioid Cost
27.0%
Long-Acting Rate
This provider's opioid prescribing rate of 45.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 26 claims · $14K
Generic: 195 claims · $4,058
Patient Profile
70
Avg Age
—
Female
1.85
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