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
1,774
Total Claims
$88K
Drug Cost
287
Beneficiaries
$305
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1180%
Opioid rate vs peers
48.4% vs 3.8% avg
-74%
Cost per patient vs peers
$305 vs $1,174 avg
-63%
Brand preference vs peers
3.3% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
48.4%
Opioid Rate
859
Opioid Claims
$32K
Opioid Cost
26.7%
Long-Acting Rate
This provider's opioid prescribing rate of 48.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 58 claims · $40K
Generic: 1,716 claims · $47K
Patient Profile
70
Avg Age
65%
Female
1.78
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