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 →31
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
205
Total Claims
$6,459
Drug Cost
95
Beneficiaries
$68
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1099%
Opioid rate vs peers
45.4% vs 3.8% avg
-94%
Cost per patient vs peers
$68 vs $1,174 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
45.4%
Opioid Rate
93
Opioid Claims
$3,635
Opioid Cost
20.4%
Long-Acting Rate
This provider's opioid prescribing rate of 45.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 198 claims · $5,488
Patient Profile
70
Avg Age
65%
Female
2.88
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