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
349
Total Claims
$16K
Drug Cost
50
Beneficiaries
$323
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1567%
Opioid rate vs peers
63.0% vs 3.8% avg
-72%
Cost per patient vs peers
$323 vs $1,174 avg
-32%
Brand preference vs peers
6.0% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
63.0%
Opioid Rate
220
Opioid Claims
$2,813
Opioid Cost
39.1%
Long-Acting Rate
This provider's opioid prescribing rate of 63.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 21 claims · $11K
Generic: 328 claims · $4,891
Patient Profile
77
Avg Age
42%
Female
2.57
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