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
689
Total Claims
$43K
Drug Cost
129
Beneficiaries
$337
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1439%
Opioid rate vs peers
58.2% vs 3.8% avg
-71%
Cost per patient vs peers
$337 vs $1,174 avg
-26%
Brand preference vs peers
6.5% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
58.2%
Opioid Rate
401
Opioid Claims
$33K
Opioid Cost
21.4%
Long-Acting Rate
This provider's opioid prescribing rate of 58.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 45 claims · $18K
Generic: 644 claims · $26K
Patient Profile
60
Avg Age
59%
Female
1.62
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