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 →38
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
137
Total Claims
$3,455
Drug Cost
42
Beneficiaries
$82
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1714%
Opioid rate vs peers
68.6% vs 3.8% avg
-93%
Cost per patient vs peers
$82 vs $1,174 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
68.6%
Opioid Rate
94
Opioid Claims
$2,901
Opioid Cost
18.1%
Long-Acting Rate
This provider's opioid prescribing rate of 68.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 136 claims · $2,864
Patient Profile
72
Avg Age
60%
Female
4.01
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