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
574
Total Claims
$146K
Drug Cost
130
Beneficiaries
$1,125
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1033%
Opioid rate vs peers
42.9% vs 3.8% avg
-4%
Cost per patient vs peers
$1,125 vs $1,174 avg
+55%
Brand preference vs peers
13.8% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
42.9%
Opioid Rate
246
Opioid Claims
$13K
Opioid Cost
29.3%
Long-Acting Rate
This provider's opioid prescribing rate of 42.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 79 claims · $121K
Generic: 495 claims · $25K
Patient Profile
72
Avg Age
53%
Female
2.85
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