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 →🚫 This provider appears on the OIG List of Excluded Individuals/Entities (LEIE)
Exclusion type: 1128a1 · Date: 20250420 · State: PA
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
1,765
Total Claims
$112K
Drug Cost
147
Beneficiaries
$759
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+836%
Opioid rate vs peers
35.4% vs 3.8% avg
-35%
Cost per patient vs peers
$759 vs $1,174 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
35.4%
Opioid Rate
625
Opioid Claims
$12K
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 35.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 1,627 claims · $37K
Patient Profile
66
Avg Age
58%
Female
1.79
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About